A client has been prescribed colchicine to reduce inflammation associated with gout. What medication education should the nurse provide to this client? Select all that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. "Because this is an acute attack, your dose will be fairly high."
2. "Once your acute attack has subsided, you will be maintained on a lower dose."
3. "Most of the side effects of this medication are related to disturbances of the gastrointestinal tract."
4. "You may experience light-headedness when first taking this medication."
5. "You are at greater risk for bone fractures because you are taking this medication."
Answer: 1,2,3
Rationale 1: Colchicine is used in a higher dose range for acute attacks.
Rationale 2: A lower maintenance dose is prescribed after the acute attack is resolved.
Rationale 3: Side effects include nausea, vomiting, and diarrhea.
Rationale 4: Light-headedness is not a side effect of this drug.
Rationale 5: A higher risk of fracture is an issue with some drugs used for gout, but not particularly with colchicine.
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