Author Question: A nurse cares for a client who is prescribed mesalamine (Asacol) for ulcerative colitis. The client ... (Read 80 times)

nelaaney

  • Hero Member
  • *****
  • Posts: 560
A nurse cares for a client who is prescribed mesalamine (Asacol) for ulcerative colitis. The client states, I am having trouble swallowing this pill. Which action should the nurse take?
 
  a. Contact the clinical pharmacist and request the medication in suspension form.
  b. Empty the contents of the capsule into applesauce or pudding for administration.
  c. Ask the health care provider to prescribe the medication as an enema instead.
  d. Crush the pill carefully and administer it in applesauce or pudding.

Question 2

A nurse assesses a client with Crohn's disease and colonic strictures. Which clinical manifestation should alert the nurse to urgently contact the health care provider?
 
  a. Distended abdomen
  b. Temperature of 100.0  F (37.8  C)
  c. Loose and bloody stool
  d. Lower abdominal cramps



janeli

  • Sr. Member
  • ****
  • Posts: 346
Answer to Question 1

ANS: C
Asacol is the oral formula for mesalamine and is produced as an enteric-coated pill that should not be crushed, chewed, or broken. Asacol is not available as a suspension or elixir. If the client is unable to swallow the Asacol pill, a mesalamine enema (Rowasa) may be administered instead, with a provider's order.

Answer to Question 2

ANS: A
The presence of strictures predisposes the client to intestinal obstruction. Abdominal distention may indicate that the client has developed an obstruction of the large bowel, and the client's provider should be notified right away. Low-grade fever, bloody diarrhea, and abdominal cramps are common symptoms of Crohn's disease.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

In the United States, there is a birth every 8 seconds, according to the U.S. Census Bureau's Population Clock.

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

Did you know?

The newest statin drug, rosuvastatin, has been called a superstatin because it appears to reduce LDL cholesterol to a greater degree than the other approved statin drugs.

Did you know?

There are more sensory neurons in the tongue than in any other part of the body.

For a complete list of videos, visit our video library