A nurse is instructing her patient with ulcerative colitis ...

[cmoore54]

A nurse is instructing her patient with ulcerative colitis regarding the need to avoid enteric coated medications. The nurse knows that the patient understands the reason for this teaching when he states which of the following?
 
  a. The coating on these medications is irritating to my intestines.
  b. I need a more immediate response from my medications than can be obtained from enteric coated medications.
  c. Enteric coated medications are absorbed lower in the digestive tract and can be irritating to my intestines or inadequately absorbed by my inflamed tissue.
  d. I don't need to use these medications because they cause diarrhea, and I have had enough trouble with diarrhea and rectal bleeding over the past weeks.

Question 2

The parents of a newborn question the nurse about the need for vaccinations: Why does our baby need all those shots? He's so small, and they have to cause him pain.
 
  The nurse can explain to the parents that which of the following are true about vaccinations? (Select all that apply.)
  a. Are only required for infants
  b. Are part of primary prevention for system disorders
  c. Prevent the child from getting childhood diseases
  d. Help protect individuals and communities
  e. Are risk free
  f. Are recommended by the Centers for Disease Control and Prevention (CDC)

[Hikerman221]

Answer to Question 1

ANS: C
Enteric coatings on medications are designed to prevent breakdown and absorption of the medication until lower in the digestive tract, usually to prevent stomach irritation or to reach a certain point in the digestive tract for optimal absorption. For the patient with ulcerative colitis, the intestinal lining is inflamed or susceptible to inflammation and can have impaired absorption; therefore, enteric coated medications should be avoided. The coating is not irritating, but the medication can be. The response time of the medication is not a concern in this instance. Enteric coated medicines do not cause diarrhea simply because they are enteric coated.

Answer to Question 2

ANS: B, D, F
Immunizations are considered part of primary prevention, help protect individuals from contracting specific diseases and from spreading them to the community at large, and are recommended by the CDC. Immunizations are recommended for people at various ages from infants to older adults. Vaccination does not guarantee that the recipient won't get the disease, but it decreases the potential to contract the illness. No medication is risk free.

[cmoore54]

TYSM

[Kedrick2014]

Excellent