Author Question: A patient with gout is prescribed colchicine. For which laboratory value should the nurse question ... (Read 106 times)

dakota nelson · **on:** Jun 25, 2018

A patient with gout is prescribed colchicine. For which laboratory value should the nurse question administering this medication to the patient?

1. WBC 20,000
2. uric acid level 7.8
3. BUN 68
4. Hgb 14.2

Question 2

A patient with osteoporosis is prescribed alendronate (Fosamax). What should the nurse include when instructing the patient about this medication?

Select all that apply.
1. Report new or worsening heartburn, and difficult or painful swallowing.
2. Take the medication with orange juice one hour after food.
3. Do not lie down for 30 minutes after taking medication.
4. Take vitamin C supplements as instructed for bone mineralization.
5. This medication has a gradual response and continues for months after the drug is stopped.

Pariscourtney · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3
The patient should be evaluated for renal failure on the basis of his elevated BUN levels. Colchicine is contraindicated in renal disease. The white blood cell count, uric acid level, and hemoglobin level are all within normal limits.

Answer to Question 2

Correct Answer: 1, 3, 5
New or worsening heartburn, difficult or painful swallowing are adverse reactions to the medication. Alendronate (Fosamax) should be administered with water 30 minutes before food or other medications. Lying down within thirty minutes of ingestion of the medication may precipitate adverse gastrointestinal reactions. Vitamin D supplements should be used as well as calcium and not Vitamin C. This medication has a gradual response and continues for months after the drug is stopped.