The nurse receives an order to administer colchicine 0.6 mg every 1 to 2 hours until the patient exhibits adverse effects. The nurse will monitor for which adverse effect?
a. Diminished fever
b. Diarrhea or nausea
c. Increased urination
d. Decrease in erythema
ANS: B
During an acute attack, initially 0.5 to 1.3 mg of colchicine are administered, followed by 0.6 mg every 1 to 2 hours until pain subsides, or nausea, vomiting, and diarrhea develop. Fever is not associated with gout, and colchicine does not reduce fever. Colchicine does not increase urinary output or frequency or affect erythema.
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