The client has gout and receives allopurinol (Zyloprim). The ...

[pane00]

The client has gout and receives allopurinol (Zyloprim). The nurse has completed medication education and evaluates that learning has occurred when the client makes which statements?
 
  1. It may take a few days or weeks for me to get the full effect of this medication.
  2. I should not drink alcohol while taking this drug.
  3. If I develop a skin rash I should contact the prescriber.
  4. I should not crush this medication.
  5. I should take this medication with food.

Question 2

The client takes calcium supplements. What is the best instruction by the nurse?
 
  1. This drug may cause insomnia.
  2. Take your calcium with a meal.
  3. It does not matter if Vitamin D is added.
  4. Take them on an empty stomach.

[reelove4eva]

Answer to Question 1

Correct Answer: 1,2,3,5
Rationale 1: It may take 1-3 weeks for blood levels of uric acid to return to normal range.
Rationale 2: Alcohol may inhibit the renal excretion of uric acid.
Rationale 3: Skin rash is a possible adverse reaction of allopurinol and can be serious.
Rationale 4: Allopurinol tablets may be crushed for administration.
Rationale 5: Allopurinol should be taken with or after meals.

Answer to Question 2

Correct Answer: 2
Rationale 1: Insomnia is not an adverse effect of calcium ingestion.
Rationale 2: Calcium is best absorbed if taken with a meal.
Rationale 3: Vitamin D facilitates absorption of calcium.
Rationale 4: Calcium should be taken with food for best absorption.

[pane00]

TYSM

[bigsis44]

Thanks for the timely response, appreciate it