How should the nurse counsel the 34-year-old woman who has been prescribed sulfasalazine (Azulfidine) for Crohn disease? (Select all that apply.)
a. Expose her to sunlight at least 30 minutes a day for vitamin D synthesis
b. Tell her to drink at least 1500 mL of fluid a day
c. Advise assessing self for rash
d. Use alternate birth control methods to oral contraception
e. Take drug on an empty stomach
ANS: B, C, D
Cautionary information about sulfasalazine (Azulfidine) would include having adequate fluid intake to prevent crystallization in the kidneys, avoiding exposure to the sun, and using alternate birth control methods as oral contraception is made unreliable by this drug. The drug should be taken with meals and the patient should be assessing for rash.
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