A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?
If I get a fever while taking this medication, I will take some aspirin.
I need to increase my fluid intake while taking this medication.
I should take this medicine on an empty stomach.
If I get a rash from this medication, I will take my usual antihistamine.
The Correct Answer is B
Allopurinol is a medication used to decrease levels of uric acid in people with gout, or kidney stones, or who are receiving certain types of chemotherapy1. Increasing fluid intake while taking this medication can help prevent the formation of kidney stones.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
The correct answer is choice b. The adverse effects of the medication., c. Written information about the medication., and e. The reason why the child is taking the medication.
Choice A rationale:
Stopping the medication when the child feels better is incorrect. It is important to complete the full course of antibiotics to ensure the infection is fully treated and to prevent antibiotic resistance.
Choice B rationale:
The adverse effects of the medication should be included in the discharge instructions. Parents need to be aware of potential side effects so they can monitor their child and seek medical attention if necessary.
Choice C rationale:
Written information about the medication is essential. This provides parents with a reference to review the medication’s purpose, dosage, and administration instructions.
Choice D rationale:
Using a kitchen spoon to administer the medication is incorrect. Kitchen spoons are not accurate for measuring medication doses. A proper measuring device, such as an oral syringe or medicine cup, should be used.
Choice E rationale:
The reason why the child is taking the medication should be included in the discharge instructions. Understanding the purpose of the medication helps ensure adherence to the prescribed treatment plan.
Correct Answer is C
Explanation
A.Cephalexin oral suspension should typically be stored in the refrigerator to maintain its stability and effectiveness. Storing it at room temperature could affect its potency.
B.Shaking the oral suspension is necessary to ensure the medication is evenly distributed before each dose, providing the client with the correct dosage of active ingredients. Failure to shake the suspension can result in uneven dosing.
C.Cephalexin is a cephalosporin antibiotic, and there is a potential for cross-sensitivity in clients who are allergic to penicillin. Up to 10% of people with a penicillin allergy may also be allergic to cephalosporins. Checking for a penicillin allergy helps prevent an adverse reaction, making it a critical safety measure before administering cephalexin.
D.While some antibiotics can cause gastrointestinal side effects, constipation is not a common adverse effect associated with cephalexin. The nurse should instead monitor for other side effects like diarrhea, which is more typical with antibiotics and can indicate a mild side effect or a more severe condition, such as Clostridioides difficile infection.
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