A nurse is reinforcing teaching with a client who has new prescription for colchicine orally to treat gout. The nurse should inform the client that which of the following findings are common side effects of colchicine?
Blurred vision and bleeding
Muscle weakness and sore throat
Nausea and vomiting
Headache & constipation
The Correct Answer is C
A. Blurred vision and bleeding: These are not common side effects of colchicine. Visual disturbances and bleeding are more associated with other medications such as anticoagulants or certain chemotherapy agents, not colchicine.
B. Muscle weakness and sore throat: While serious adverse effects of colchicine can include myopathy or bone marrow suppression, these are uncommon. They are not expected side effects that patients are routinely taught to anticipate.
C. Nausea and vomiting: Gastrointestinal upset, including nausea, vomiting, abdominal pain, and diarrhea, is the most common side effect of oral colchicine. Educating the client about these expected reactions helps promote adherence and timely reporting of severe symptoms.
D. Headache & constipation: Headache and constipation are not typical adverse effects of colchicine. Most gastrointestinal effects involve increased motility rather than decreased, and headache is not commonly reported.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Peptic ulcer disease: PUD primarily presents with epigastric pain, dyspepsia, and sometimes gastrointestinal bleeding. It does not explain heart murmurs, nail abnormalities, or hematuria, making it unlikely in this scenario.
B. Pulmonary embolism: PE typically presents with sudden shortness of breath, chest pain, tachypnea, and sometimes hemoptysis. A heart murmur and nail changes are not characteristic of PE, so this is less likely.
C. Endocarditis: Infective endocarditis often presents with fever, tachycardia, heart murmur, hematuria, myalgias, and nail findings such as splinter hemorrhages. The combination of these systemic and cardiovascular findings strongly suggests endocarditis.
D. Heart failure: Heart failure manifests with dyspnea, edema, fatigue, and sometimes pulmonary congestion. Fever, hematuria, and nail abnormalities are not typical, making it less likely as the primary diagnosis in this case.
Correct Answer is D
Explanation
A. Iron deficiency: Iron deficiency anemia does not alter urinary mineral concentration or urine volume in a way that promotes stone formation. It is not associated with calcium, oxalate, or uric acid stone development.
B. Obesity: Obesity is associated with metabolic changes that can increase stone risk, but it is a contributing factor rather than a direct precipitating condition. It does not affect urine concentration as immediately as fluid imbalance.
C. Protein in the urine: Proteinuria reflects kidney damage or glomerular disease rather than stone formation. While some renal disorders coexist with calculi, protein in the urine itself does not promote crystallization.
D. Dehydration: Low fluid intake leads to concentrated urine, increasing supersaturation of calcium, oxalate, and uric acid. This environment promotes crystal formation and is a primary, modifiable risk factor for renal calculi.
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