Comprehensive Nursing Pharmacology Q 185
Gold compounds are contraindicated in clients with:
A. Liver dysfunction
B. Cardiac disease
C. Preexisting dermatitis
D. Rheumatoid arthritis
Correct Answer: A. Liver dysfunction
An adverse reaction to gold compounds is liver toxicity; therefore, use care in clients with preexisting liver dysfunction.
Option B: Gold compounds have been shown to cause tumors and cancer of the kidney when given to animals in large amounts for a long time. However, these effects have not been reported in humans receiving gold compounds for arthritis. If there are any questions about this, check with the doctor.
Option C: Gold compounds may cause some people to become more sensitive to sunlight than they are normally. These people may break out in a rash after being in the sun, or a skin rash that is already present may become worse.
Option D: Immediately following injection of this medicine, side effects such as dizziness, feeling faint, flushing or redness of the face, nausea or vomiting, increased sweating, or unusual weakness may occur. These will usually go away after the client lies down for a few minutes. If any of these effects continue or become worse, or if you notice any other effects within 10 minutes or so after receiving an injection, tell a health care professional right away.