« previous next »

Author Question: A nurse cares for a client who is prescribed mesalamine (Asacol) for ulcerative colitis. The client ... (Read 75 times)

nelaaney

  • Hero Member
  • *****
  • Posts: 560
on: Jun 25, 2018
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
Reply #1 on: Jun 25, 2018
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
« previous next »
 

Did you know?

Approximately 15–25% of recognized pregnancies end in miscarriage. However, many miscarriages often occur before a woman even knows she is pregnant.

Did you know?

Long-term mental and physical effects from substance abuse include: paranoia, psychosis, immune deficiencies, and organ damage.

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

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?

In women, pharmacodynamic differences include increased sensitivity to (and increased effectiveness of) beta-blockers, opioids, selective serotonin reuptake inhibitors, and typical antipsychotics.

The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi
Establishing a caring and trusting relationship helps the client come to terms with a terminal illne Establishing a caring and trusting relationship helps the client come to terms with a terminal illne
Nurse's hand over patients abdomen Nurse's hand over patients abdomen
Client and therapist positioning for foot reflexology. Client and therapist positioning for foot reflexology.
Testing the client’s ability to feel vibrations, the toe Testing the client’s ability to feel vibrations, the toe
A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ... A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ...
Video: Condensation and Hydrolysis Animation

For a complete list of videos, visit our video library