When collecting a client's drug history, the nurse recognizes ...

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When collecting a client's drug history, the nurse recognizes that both bone and muscle function can be most impaired if the client reports taking:
 
  1. aspirin.
  2. oral hypoglycemic agents.
  3. corticosteroids.
  4. potassium-sparing diuretics.

Question 2

The nurse is instructing a client who has been started on colchicine for the treatment of gout. Which information should be included?
 
  1. Have serum uric acid levels checked.
  2. Take with food.
  3. Limit fluid intake with the medicine.
  4. Report any GI distress and fatigue.

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Answer to Question 1

Answer: 3

1. Aspirin does not adversely affect bone and muscle function.
2. Oral hypoglycemic agents do not adversely affect bone and muscle function.
3. Corticosteroids cause protein catabolism with skeletal muscle wasting, and contribute to osteoporosis, secondary to increased osteoclast activity.
4. Potassium-sparing diuretics do not adversely affect bone and muscle function.

Answer to Question 2

Answer: 4

1. It does not lower serum uric acid levels.
2. It should be taken on an empty stomach for best absorption.
3. Fluids should be encouraged.
4. Colchicine can cause serious GI, kidney, liver, and heart disease.