NursingPlex
    Sign In
    Hesi pharmacology proctored exam

    A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?

    Explanation & Rationale

    A. Consume 2 liters of water daily: Adequate hydration helps prevent the formation of uric acid kidney stones, a possible complication of gout and allopurinol use. This practice supports renal excretion of uric acid and is an appropriate self-care measure. B. Avoid taking on an empty stomach: Taking allopurinol with food helps minimize gastrointestinal irritation, which is a common side effect. This is a safe and recommended practice that aligns with proper medication administration guidelines. C. Double the dose if a dose is missed: Doubling the dose increases the risk of adverse effects such as rash, liver toxicity, or bone marrow suppression. Missed doses should be taken as soon as remembered unless it is close to the next scheduled dose, in which case the regular dosing schedule should be resumed without extra medication. D. Reduce caffeine and acidic intake: Limiting caffeine and acidic foods can help reduce uric acid production and avoid triggering gout flares. This dietary adjustment supports the effectiveness of allopurinol and is an appropriate recommendation.

    🔒 Submit your answer to reveal