Author Question: A patient who has gout will begin taking febuxostat Uloric and colchicine. What will the nurse ... (Read 78 times)

Chloeellawright · **on:** Jul 23, 2018

A patient who has gout will begin taking febuxostat Uloric and colchicine. What will the nurse include when teaching this patient about this drug regimen?

a. You are taking both drugs in order to prevent hepatic side effects.
b. You may stop taking the febuxostat after your uric acid levels decrease.
c. You will have to take both drugs indefi-nitely to treat your symptoms.
d. You will stop taking the colchicine within 6 months after starting therapy.

Question 2

A hospitalized patient is being treated for tuberculosis with a drug regimen that includes pyrazinamide. The patient complains of pain in the knee and shoulder joints. The nurse will con-tact the provider to request an order for:

a. ibuprofen.
b. renal function tests.
c. discontinuation of the pyrazinamide.
d. measurement of uric acid levels.

miss_1456@hotmail.com · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
At the beginning of therapy with fevuxostat, symptoms of gout may flare, so colchicine or NSAIDS are given for up to 6 months to alleviate this. The combination does not prevent effects on the liver. The febuxostat will be given indefinitely.

Answer to Question 2

A
Polyarthralgias occur in 40 of patients during the initial phase of treatment with pyrazinamide and can be managed with a nonsteroidal anti-inflammatory drug (NSAID). Renal function tests and uric acid levels are not indicated. Unless the pain cannot be managed with NSAIDs, there is no need to reduce the dose of pyrazinamide.