The nurse is preparing discharge medication instructions for a patient who has been prescribed allopurinol (Aloprim)
Which information should the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Adverse reactions to the medication include sore throat, bruising, and fever.
2. Keep scheduled appointments for the monitoring of prothrombin time.
3. Increase fluid intake while taking this medication.
4. Take the medication as prescribed, following meals.
5. Maintain current weight with the inclusion of calorie-dense foods.
3,4
Rationale 1: Sore throat, bruising, and fever are adverse effects of colchicine, not allopurinol.
Rationale 2: Prothrombin time is not usually monitored for patients prescribed allopurinol.
Rationale 3: Patients taking allopurinol should increase fluid intake.
Rationale 4: The medication should be taken after a meal to reduce gastric distress.
Rationale 5: Gouty arthritis is seen more frequently in patients who are overweight, so the inclusion of calorie-dense foods would not be encouraged.
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