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Chapter 23: Problem 9

A client with gout has been treated with prednisone with no improvement. The healthcare provider prescribes colchicine. Which teaching plan will the nurse recommend to be included? A. Teach the client to take the pill after meals B. Restrict fluids to one liter a day C. Avoid the use of aspirin when taking this drug D. Explain how the drug prevents uric acid formation

Short Answer

Expert verified
Answer: The appropriate action when taking colchicine for gout treatment is to take the pill after meals.

Step by step solution

01

Identify the correct answer choice.

Among the provided options, the recommendation for colchicine use is OPTION A: Teach the client to take the pill after meals.
02

Explain why OPTION A is correct.

Taking colchicine after meals helps to minimize gastrointestinal side effects such as nausea, vomiting, and diarrhea. Food slows down the absorption rate of colchicine which reduces the side effects.
03

Explain why OPTION B is not recommended.

OPTION B: Restricting fluids to one liter a day is not recommended because it may promote kidney stone formation. Adequate fluid intake is crucial in preventing kidney stones, which are common in gout patients due to the accumulation of uric acid crystals.
04

Explain why OPTION C is not recommended.

OPTION C: Avoiding the use of aspirin is not specific to colchicine use. Although, high-dose aspirin can cause an increase in uric acid levels, low-dose aspirin does not have a significant effect on uric acid levels and may be used for other conditions, if necessary.
05

Explain why OPTION D is not recommended.

OPTION D: Colchicine does not prevent uric acid formation. Instead, it works by reducing inflammation caused by uric acid crystals in the joints.
06

Provide additional information about colchicine and its use for gout, if necessary.

Colchicine is used for both acute gout attacks and as a prophylactic treatment to prevent future attacks. It is essential for patients to follow the dosing instructions provided by their healthcare provider, as too much colchicine can lead to severe side effects or toxicity. Encourage the patient to communicate with their healthcare provider if they experience any side effects or if their gout symptoms do not improve.

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