Which of the following is NOT a recommended nursing intervention for patients on allopurinol?

• A. Record urine output
• B. Have or get a yearly eye exam
• C. Monitor lab tests for renal and hepatic function (LFTs)
• D. Schedule routine monthly eye surgeries

Answer: (D)

Allopurinol can impact kidney and liver function, so nursing care focuses on protecting those organs and watching for adverse effects. Recording urine output helps detect changes in renal function or hydration status, which is important because kidney performance influences drug excretion and uric acid management. Monitoring labs for renal and hepatic function (like creatinine, BUN, and liver enzymes) allows early detection of nephrotoxicity or hepatotoxicity and guides timely adjustments to therapy. Eye health surveillance or surgical eye procedures aren’t part of standard allopurinol care, since this medication doesn’t require routine ophthalmic interventions.

Scheduling routine monthly eye surgeries is not a recommended nursing intervention for patients on allopurinol.