The nurse is caring for a client who is taking mesalamine (5-aminosalicylic acid) (Asacol, Rowasa) for ulcerative colitis. The client has trouble swallowing the pill. Which action by the nurse is most appropriate?
a. Crush the pill carefully and administer it to the client in applesauce or pudding.
b. Empty the contents of the capsule into applesauce or pudding for administration.
c. Contact the client's health care provider to request an order for Asacol suspension.
d. Contact the client's health care provider to request an order for Rowasa enemas in-stead.
D
Asacol is enteric coated and should not be crushed, chewed, or broken. If the client is unable to swallow the Asacol pill, Rowasa enemas may be administered instead, with a provider's order. Asacol is not available as a suspension or elixir.
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An older adult who resides in an assisted living facility has sought care from the nurse because of recurrent episodes of constipation. Which of the following actions should the nurse first perform?
A) Encourage the patient to take stool softener daily. B) Assess the patient's food and fluid intake. C) Assess the patient's surgical history. D) Encourage the patient to take fiber supplements.
Which of the following reflects the diagnosis phase?
A) The nurse identifies that the client does not tolerate activity. B) The nurse performs wound care using sterile technique. C) The nurse sets a tolerable pain rating with the client. D) The nurse documents the client's response to pain medication.
A medical home coalition is likely to provide which of the following benefits for individuals who have psychiatric–mental health disorders?
A) Increased contact time between a client and his or her care providers using the Internet B) Provision of mental health services in a noninstitutional environment C) Increased protection of individuals' privacy rights and confidentiality D) Integration of all the mental health services that a client may require over time
The nurse is caring for an adult patient who is in ventricular fibrillation. When defibrillating the patient, what must the nurse do?
A) Maintain good contact between paddles and patient skin B) Use ultrasound gel as a conducting agent C) Call "all clear" once before discharging the defibrillator D) Ensure the defibrillator is in the sync mode