Allopurinol decreases the production of uric acid by inhibiting the action o xanthine oxidase, the enzyme that converts hypoxanthine to xanthine and xanthine to uric acid.
Class: Xanthine Oxidase Inhibitor; Antigout
Dosage Forms. Tablet: 100 mg, 300 mg
NCLEX Examination.
Practice Question # 690.
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1. Question
Allopurinol is prescribed for a client and the nurse provides medication instructions to the client. Which instruction should the nurse provide?
Correct
Answer: Option 1 is the correct answer.
Rationale: Clients taking allopurinol are encouraged to drink 3000 mLof fluid a day, unless otherwise contraindicated. A full therapeutic effect may take 1 week or longer. Allopurinol is to be given with, or immediately after,meals ormilk.Aclient who develops a rash, irritation of the eyes, or swelling of the lips or mouth should contact the health care provider because this may indicate hypersensitivity. Test-Taking Strategy: Focus on the subject, client instructions for allopurinol. Option 4 can be eliminated easily because it indicates hypersensitivity, which is not a normal expected response. From the remaining options, recalling that this medication is used to treat gout and recalling the pathophysiology of this disorder will direct you to the correct option.
Incorrect
Answer: Option 1 is the correct answer.
Rationale: Clients taking allopurinol are encouraged to drink 3000 mLof fluid a day, unless otherwise contraindicated. A full therapeutic effect may take 1 week or longer. Allopurinol is to be given with, or immediately after,meals ormilk.Aclient who develops a rash, irritation of the eyes, or swelling of the lips or mouth should contact the health care provider because this may indicate hypersensitivity. Test-Taking Strategy: Focus on the subject, client instructions for allopurinol. Option 4 can be eliminated easily because it indicates hypersensitivity, which is not a normal expected response. From the remaining options, recalling that this medication is used to treat gout and recalling the pathophysiology of this disorder will direct you to the correct option.