A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?
If I get a fever while taking this medication, I will take some aspirin.
I need to increase my fluid intake while taking this medication.
I should take this medicine on an empty stomach.
If I get a rash from this medication, I will take my usual antihistamine.
The Correct Answer is B
Allopurinol is a medication used to decrease levels of uric acid in people with gout, or kidney stones, or who are receiving certain types of chemotherapy1. Increasing fluid intake while taking this medication can help prevent the formation of kidney stones.

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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Cyclosporine is an immunosuppressant medication that is often used following organ transplant to prevent rejection. Grapefruit juice can increase the absorption of cyclosporine, leading to an increased risk of side effects and toxicity. Therefore, clients taking cyclosporine should be advised to avoid grapefruit and grapefruit juice while taking this medication. Pepperoni and smoked salmon do not have any known interactions with cyclosporine. Orange juice may also interact with cyclosporine, but not to the same extent as grapefruit juice. It is generally recommended that clients taking cyclosporine avoid drinking large amounts of orange juice and to inform their healthcare provider if they experience any adverse effects.
Correct Answer is D
Explanation
BUN stands for Blood Urea Nitrogen, and it is a laboratory test that measures the amount of nitrogen in the blood that comes from urea, which is a waste product of protein metabolism. Elevated BUN levels indicate impaired kidney function. Amphotericin B is known to be potentially nephrotoxic, which means that it can cause damage to the kidneys. Therefore, the nurse should report an elevated BUN level to the provider before initiating the medication to ensure the safety of the client. Potassium, glucose, and sodium levels are within normal range and do not require intervention in this scenario.

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