A client has been prescribed sulfasalazine (Azulfidine) for ...

[roselinechinyere27m]

A client has been prescribed sulfasalazine (Azulfidine) for treatment of ulcerative colitis. Which nursing assessment question is essential?
 
  1. How long have you had ulcerative colitis?
  2. What are you allergic to?
  3. Are you lactose intolerant?
  4. Do you have to stand in one place for long periods of time at your work?

Question 2

A client asks if he could use an over-the-counter bulk-type laxative. Which assessment finding would cause the nurse to tell the client not to use this drug?
 
  1. The client is over age 60.
  2. The client takes warfarin every other day.
  3. The client has type 2 diabetes.
  4. The client has a history of fecal impaction.
  5. The client is allergic to penicillin.

[kbennett34]

Answer to Question 1

Correct Answer: 2
Rationale 1: This is not the most important assessment data.
Rationale 2: The client who is allergic to sulfa drugs should not take sulfasalazine.
Rationale 3: Lactose intolerance is not a significant assessment finding for this client.
Rationale 4: Standing in one spot for long periods of time is not a significant issue with sulfasalazine.

Answer to Question 2

Correct Answer: 2,4
Rationale 1: There is no contraindication for use of this laxative class in clients over 60.
Rationale 2: Bulk-type laxatives may decrease the absorption and effects of warfarin.
Rationale 3: Bulk-type laxatives may decrease serum glucose levels in clients with type 2 diabetes. This is not an adverse outcome.
Rationale 4: If there is a chance that the client has a fecal impaction, bulk-type laxative should not be used.
Rationale 5: Allergy to penicillin is not a contraindication for use of bulk-type laxatives.

[roselinechinyere27m]

Thanks for the timely response, appreciate it

[bblaney]

Excellent