A client with inflammatory bowel disease is prescribed budesonide ...

[piesebel]

A client with inflammatory bowel disease is prescribed budesonide (Entocort-EC) and asks why this drug is ordered. The nurse correctly explains:
 
  1. The pharmacist will be making rounds this shift, and will explain the rationale to you at that time.
  2. Your health care provider ordered this medication to treat the underlying disease pathology.
  3. This is a corticosteroid that is not absorbed and remains in the intestine to treat the inflammation locally, without causing significant systemic effects.
  4. This is a systemic corticosteroid that will decrease system wide inflammation.

Question 2

A young adult client with Cushing syndrome is prescribed ketoconazole (Nizoral). What question should the nurse ask before providing the client with this medication?
 
  1. What is your height and weight?
  2. Are you allergic to shellfish?
  3. Do you have a family history of cancer?
  4. When was your last menstrual period?

[Alyson.hiatt@yahoo.com]

Answer to Question 1

Correct Answer: 3
Rationale 1: The nurse must know the rationale for medications and must articulate this to the client as part of client education.
Rationale 2: This response does not give the client any information.
Rationale 3: Budesonide is a locally acting anti-inflammatory without significant systemic effects.
Rationale 4: Budesonide does not prevent system wide inflammation.
Global Rationale: Budesonide is a locally acting anti-inflammatory without significant systemic effects. It does not prevent system wide inflammation. The nurse must know the rationale for medications and must articulate this to the client as part of client education.

Answer to Question 2

Correct Answer: 4
Rationale 1: Height and weight are not most important to ask about at this time.
Rationale 2: Shellfish allergy is not a contraindication to taking this medication.
Rationale 3: Family history of cancer is not a contraindication to taking this medication.
Rationale 4: Ketoconazole should not be used during pregnancy because it has been shown to be teratogenic and embryotoxic at high doses in animals.
Global Rationale: Ketoconazole should not be used during pregnancy because it has been shown to be teratogenic and embryotoxic at high doses in animals. Height and weight are not the primary concern. Shellfish allergy and family history of cancer are not contraindications to the use of nizoral.

[piesebel]

Both answers were spot on, thank you once again

[Alyson.hiatt@yahoo.com]

Great! Please up vote