A client has been prescribed the xanthine oxidase inhibitor allopurinol for treatment of gout. Which statement by the client indicates that nursing education about this drug has been successful?

1. "I should take my blood pressure weekly while on this medication."
2. "I will monitor my skin for rashes."
3. "This drug may cause gastrointestinal bleeding, so I should watch for tarry stools."
4. "While I am taking this medication, my ability to heal will be reduced."


2
Rationale 1: Allopurinol has no effect on blood pressure.
Rationale 2: Life-threatening rashes (Stevens-Johnson syndrome and toxic epidermal necrolysis) are rare adverse reactions to allopurinol.
Rationale 3: GI bleeding is a side effect of NSAIDS, but not of xanthine oxidase inhibitors.
Rationale 4: An impaired ability to heal is common with corticosteroids, but not with xanthine oxidase inhibitors.

Nursing

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