Author Question: The nurse instructs a client that the adverse effects of sulfasalazine (Azulfidine) typically begin ... (Read 55 times)

burchfield96 · **on:** Jul 23, 2018

The nurse instructs a client that the adverse effects of sulfasalazine (Azulfidine) typically begin within the first _____ weeks of treatment.

Standard Text: Record your answer rounding to the nearest whole number.
What will be an ideal response?

Question 2

A client is being treated with sulfasalazine (Azulfidine) for inflammatory bowel disease (IBD). Which information is important for the nurse to provide to the client and family?

Standard Text: Select all that apply.
1. It is important to avoid prolonged sun exposure, because the skin might be sensitive.
2. The drug should not be taken for longer than 12 weeks unless recommended by the health care provider.
3. Fluid intake should be 23 liters per day to avoid crystal formation in the urine.
4. The medication can color urine and skin orange-yellow.
5. The medication can affect female fertility.

trampas · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 12
Rationale: Adverse reactions generally occur within a few days to 12 weeks after the start of therapy. They are most likely to occur in clients who are receiving high doses.
Global Rationale: Adverse reactions generally occur within a few days to 12 weeks after the start of therapy. They are most likely to occur in clients who are receiving high doses.

Answer to Question 2

Correct Answer: 1,3,4
Rationale 1: Sulfasalazine can cause skin sensitivity to prolonged sun exposure.
Rationale 2: Sulfasalazine is indicated for long-term use.
Rationale 3: Fluid intake for a client taking sulfasalazine for IBD should be 23 liters per day to avoid crystal formation in the urine.
Rationale 4: Sulfasalazine can color urine and skin orange-yellow.
Rationale 5: The medication is known to affect male, not female, fertility. The adverse effects on fertility reverse when the medication is stopped.
Global Rationale: Sulfasalazine can cause skin sensitivity to sun. It also colors the urine and skin an orange-yellow color. Fluid intake should be 23 liters per day to avoid crysturia. It is indicated for long-term use. Male fertility may be affected.