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."
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.
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