The client with irritable bowel disease (IBD) is prescribed sulfasalazine, a sulfonamide antibiotic. Which intervention should the nurse implement when administering the medication?

Explain that the medication may cause bruising.

Ensure the client drinks at least 2000 mL of water daily.

Administer the medication once a day before breakfast.

Assess the client's stool for steatorrhea and mucus.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Sulfasalazine is more commonly associated with side effects such as gastrointestinal discomfort and hypersensitivity reactions, rather than causing bruising. Monitoring for bruising is not a specific intervention for this medication.

Choice B rationale

Ensuring the client drinks at least 2000 mL of water daily helps prevent crystal formation in the kidneys, a potential side effect of sulfasalazine. Adequate hydration also supports overall renal function and reduces the risk of kidney stones.

Choice C rationale

Sulfasalazine is usually taken multiple times a day with meals to reduce gastrointestinal side effects and improve absorption. Administering it once a day before breakfast is not the typical dosing schedule.

Choice D rationale

While it is important to monitor the client's stool, steatorrhea (fatty stools) and mucus are not specifically associated with sulfasalazine. The primary focus is on ensuring hydration and monitoring for other side effects such as rash and gastrointestinal discomfort.

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Correct Answer is ["A","D"]

Explanation

Choice A rationale

Other weight loss methods, such as diet and exercise, should be attempted before beginning treatment with weight loss drugs. Pharmacotherapy is typically considered when lifestyle modifications alone are insufficient.

Choice B rationale

Drugs used for weight loss are very safe with few side effects. This is incorrect; weight loss drugs can have significant side effects, and their safety profile needs to be carefully evaluated.

Choice C rationale

Weight loss drugs should be used for at least a year, even if weight loss does not immediately occur. This is incorrect; if weight loss does not occur within a specific timeframe, the treatment plan should be re-evaluated.

Choice D rationale

In general, drugs currently approved for weight loss either affect nutrient absorption or appetite. This is correct, as most weight loss medications work by either reducing appetite or decreasing nutrient absorption.

Choice E rationale

You can expect to lose at least forty pounds using weight loss drugs. This is incorrect; weight loss drugs typically result in moderate weight loss, and individual results can vary. .

Correct Answer is ["A","D"]

Explanation

Choice A rationale

It's widely recommended to attempt lifestyle modifications, such as diet and exercise, before initiating pharmacotherapy for obesity. This approach is due to the potential side effects and costs associated with weight loss medications, making non-pharmacological interventions a safer first option.

Choice B rationale

This statement is incorrect. Drugs used for weight loss can have significant side effects, including gastrointestinal disturbances, increased heart rate, and potential risks of abuse or dependence. It is important for healthcare providers to weigh the benefits and risks before prescribing these medications.

Choice C rationale

Weight loss drugs are typically used in conjunction with lifestyle changes and are not recommended to be used for prolonged periods if ineffective. Continuous monitoring and evaluation of the drug's effectiveness and side effects are crucial in managing obesity with pharmacotherapy.

Choice D rationale

Correct. Current drugs approved for weight loss generally work by either reducing nutrient absorption (e.g., orlistat) or suppressing appetite (e.g., phentermine). These mechanisms help individuals decrease caloric intake and promote weight loss.

Choice E rationale

This statement is inaccurate. The amount of weight loss with medication varies among individuals, and losing at least forty pounds is not a guaranteed outcome. The effectiveness of weight loss drugs depends on several factors, including adherence to the medication and accompanying lifestyle changes.

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The client with irritable bowel disease (IBD) is prescribed sulfasalazine, a sulfonamide antibiotic. Which intervention should the nurse implement when administering the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is leading a community-based discussion group on pharmacotherapy used in obesity. Which statement(s) made by the participants is/are correct? (SELECT ALL THAT APPLY)

Correct Answer is ["A","D"]

Explanation

The nurse is leading a community-based discussion group on pharmacotherapy used in obesity. Which statement(s) made by the participants is/are correct? (SELECT ALL THAT APPLY)

Correct Answer is ["A","D"]

Explanation

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