Which statements by a patient who has been instructed on use of the medication budesonide (Entocort EC) to reduce local inflammation from Crohn's disease indicate that more teaching is needed? (Select all that apply.)

Question

a. "I will take the pill each evening before going to bed."
b. "I should swallow the pill whole, not crushed."
c. "I can just stop taking the medication once I feel better."
d. "I should avoid grapefruit juice."
e. "I must avoid the sun while taking this drug."
f. "I might experience mood swings or weight gain on this medication."

Answer 1

ANS: A, C, E
A, C, and E indicate lack of understanding and the need for more teaching. Teaching includes the following: grapefruit juice should be avoided; take medication in the morning; swallow whole; steroid medications must be tapered, not stopped abruptly; and mood swings or weight gain may be noted with the medication.