A client is taking colchicine for gouty arthritis and furosemide ...

[Mr3Hunna]

A client is taking colchicine for gouty arthritis and furosemide (Lasix) for treatment of congestive heart failure. What should the nurse include in the medication teaching for this client regarding adverse reactions?
 
  1. GI upset is common, and could be intensified.
  2. The client should be monitored for signs of bleeding.
  3. Skin rashes are common.
  4. The client should call the physician if there is no improvement in gout symptoms.

Question 2

The nurse is caring for a client with Paget disease. This client is considered to be late in the progression of the disease. Which disorders is this client at risk for developing?
 
  1. Glaucoma, diabetes mellitus, and arthritis
  2. Rheumatoid arthritis, epilepsy, and heart disease
  3. Arthritis, kidney stones, and heart disease
  4. Arthritis, endometrial cancer, and hypertension

[14vl19]

Answer to Question 1

Correct Answer: 1

Rationale 1: Colchicine interacts with many drugs. Loop diuretics can decrease colchicine's effects; GI upset can increase with the use of NSAIDs; phenylbutazone can increase the risk for blood disorders; and skin rashes can occur with alcohol use, or using products that contain alcohol.
Rationale 2: This is not an interaction between the two prescribed medications.
Rationale 3: This is not an interaction between the two prescribed medications.
Rationale 4: Although the client may need to notify the physician if symptoms do not improve, this is not appropriate teaching in regards to adverse reactions.

Global Rationale: Colchicine interacts with many drugs. Loop diuretics can decrease colchicine's effects; GI upset can increase with the use of NSAIDs; Phenylbutazone can increase the risk for blood disorders; and skin rashes can occur with alcohol use, or using products that contain alcohol. Although the client may need to notify the physician if symptoms do not improve, this is not appropriate teaching in regards to adverse reactions.

Answer to Question 2

Correct Answer: 3

Rationale 1: If the diagnosis is made late in the disease's progression, permanent skeletal abnormalities can develop, and other disorders might appear, including arthritis, kidney stones, and heart disease.
Rationale 2: If the diagnosis is made late in the disease's progression, permanent skeletal abnormalities can develop, and other disorders might appear, including arthritis, kidney stones, and heart disease.
Rationale 3: If the diagnosis is made late in the disease's progression, permanent skeletal abnormalities can develop, and other disorders might appear, including arthritis, kidney stones, and heart disease.
Rationale 4: If the diagnosis is made late in the disease's progression, permanent skeletal abnormalities can develop, and other disorders might appear, including arthritis, kidney stones, and heart disease.

Global Rationale: If the diagnosis is made late in the disease's progression, permanent skeletal abnormalities can develop, and other disorders might appear, including arthritis, kidney stones, and heart disease.

[Mr3Hunna]

Excellent

[6ana001]

TYSM