{"id":214245,"date":"2025-05-13T21:00:16","date_gmt":"2025-05-13T21:00:16","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=214245"},"modified":"2025-05-13T21:00:18","modified_gmt":"2025-05-13T21:00:18","slug":"colchicine-1200-mcg-orally-is-prescribed-for-client-with-gout-each-table-contains-0-6-mg","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2025\/05\/13\/colchicine-1200-mcg-orally-is-prescribed-for-client-with-gout-each-table-contains-0-6-mg\/","title":{"rendered":"Colchicine 1200 mcg orally is prescribed for client with gout. Each table contains 0.6 mg"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Colchicine 1200 mcg orally is prescribed for client with gout. Each table contains 0.6 mg. How many tablets should the nurse administer?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What should the nurse consider as the goal of therapy when administering allopurinol (Zyloprim) to a client with gout?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Increase bone density<br>Decrease synovial swelling<br>Decrease uric acid production<br>Prevent crystallization of uric acid<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-1-color\">The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Question 1: Dosage Calculation<\/strong><br><strong>Prescribed dose:<\/strong> 1200 mcg<br><strong>Tablet strength:<\/strong> 0.6 mg<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">First, convert the prescribed dose to milligrams (mg) because the tablet is in mg:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>1200 mcg = <strong>1.2 mg<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Now calculate how many tablets the client needs:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Each tablet = 0.6 mg<\/li>\n\n\n\n<li>1.2\u00a0mg0.6\u00a0mg\/tablet=2\\frac{1.2\\text{ mg}}{0.6\\text{ mg\/tablet}} = 2 tablets<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u2705 <strong>Answer: 2 tablets<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Question 2: What should the nurse consider as the goal of therapy when administering allopurinol (Zyloprim) to a client with gout?<\/strong><br>\u2705 <strong>Correct Answer: Decrease uric acid production<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Detailed Explanation (300+ words)<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Gout is a type of inflammatory arthritis that occurs due to elevated levels of <strong>uric acid<\/strong> in the blood (a condition known as <strong>hyperuricemia<\/strong>). When uric acid accumulates, it can crystallize and deposit in joints, leading to the hallmark symptoms of gout: <strong>painful swelling, redness, and stiffness<\/strong>, typically affecting one joint at a time (often the big toe).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Allopurinol (Zyloprim)<\/strong> is not used to treat acute gout attacks but is part of the <strong>long-term management<\/strong> strategy. It works by <strong>inhibiting xanthine oxidase<\/strong>, an enzyme responsible for converting purines into uric acid. By blocking this enzyme, allopurinol <strong>reduces the overall production of uric acid<\/strong> in the body.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Therefore, the <strong>primary therapeutic goal<\/strong> when administering allopurinol is to <strong>decrease uric acid production<\/strong>, which in turn helps to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lower serum uric acid levels<\/li>\n\n\n\n<li>Prevent the formation and deposition of urate crystals<\/li>\n\n\n\n<li>Reduce the frequency and severity of future gout attacks<\/li>\n\n\n\n<li>Prevent the development of <strong>tophi<\/strong> (hard uric acid deposits under the skin)<\/li>\n\n\n\n<li>Protect renal function by reducing the risk of uric acid nephropathy<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Let\u2019s look at the other answer choices:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Increase bone density:<\/strong> This is unrelated to gout and is more relevant to osteoporosis.<\/li>\n\n\n\n<li><strong>Decrease synovial swelling:<\/strong> While this may be a secondary benefit, it is not the primary mechanism or goal of allopurinol therapy.<\/li>\n\n\n\n<li><strong>Prevent crystallization of uric acid:<\/strong> Though it\u2019s an eventual outcome, this occurs as a <strong>result<\/strong> of reduced uric acid levels, not the direct pharmacological action.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">In conclusion, <strong>decreasing uric acid production<\/strong> is the foundational goal of allopurinol therapy, helping to prevent gout flares and long-term complications. Nurses should educate clients that this medication is used for <strong>prevention<\/strong>, not for treating active attacks, and that it must be taken <strong>consistently<\/strong> even when symptoms are absent.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Colchicine 1200 mcg orally is prescribed for client with gout. Each table contains 0.6 mg. How many tablets should the nurse administer? What should the nurse consider as the goal of therapy when administering allopurinol (Zyloprim) to a client with gout? Increase bone densityDecrease synovial swellingDecrease uric acid productionPrevent crystallization of uric acid The Correct [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-214245","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/214245","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=214245"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/214245\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=214245"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=214245"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=214245"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}