Author Question: The client has gout and receives allopurinol (Zyloprim). The nurse has completed medication ... (Read 43 times)

pane00 · **on:** Jul 23, 2018

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 · **Reply #1 on:** Jul 23, 2018

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.