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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Pyloric obstruction does not cause respiratory acidosis. Instead, it leads to gastrointestinal symptoms due to obstruction of the stomach's outflow.
Choice B rationale
Abdominal pain relieved by belching is a typical symptom of pyloric obstruction, as it can help release some of the gas and pressure build-up in the stomach.
Choice C rationale
Sensation of epigastric fullness is a common symptom of pyloric obstruction due to the blockage preventing stomach contents from passing into the duodenum.
Choice D rationale
Nausea is a frequent symptom of pyloric obstruction because the stomach's inability to empty properly can lead to discomfort and vomiting. .
Correct Answer is D
Explanation
Choice A rationale
Hypoactive bowel sounds are common post-operatively due to anesthesia and immobility, so they are not the most concerning immediate finding.
Choice B rationale
Intermittent incisional pain rated 7/10 is significant but expected post-operatively, and manageable with pain control measures.
Choice C rationale
Blood pressure of 110/70 and heart rate of 86 are within normal ranges, so these are not alarming post-operative signs.
Choice D rationale
Increased restlessness can indicate pain, anxiety, or potentially worsening condition, making it the most concerning and requiring immediate attention.
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