Page 1639 - Saunders Comprehensive Review For NCLEX-RN
P. 1639

salicylates, or compounds containing
                                                                the para-aminophenol group
                                                             b. Aminobenzoates block the absorption
                                                                of aminosalicylate sodium.
                                             3. Side and adverse effects
                                                             a. Hypersensitivity
                                                             b. Bitter taste in the mouth
                                                             c. Gastrointestinal tract irritation
                                                             d. Exfoliative dermatitis
                                                             e. Blood dyscrasias
                                                             f. Crystalluria
                                                             g. Changes in thyroid function

                                             4.        Interventions

                                                             a. Assess for hypersensitivity.
                                                             b. Offer water to rinse the mouth and
                                                                chewing gum or hard candy to
                                                                alleviate the bitter taste.
                                                             c. Encourage fluid intake to prevent
                                                                crystalluria.
                                                             d. Monitor intake and output.

                                             5.        Client education

                                                             a. To discard the medication and obtain a
                                                                new supply if a purplish-brown
                                                                discoloration occurs
                                                             b. To take the medication with food
                                                             c. That urine may turn red on contact with
                                                                hypochlorite bleach if bleach was used
                                                                to clean a toilet
                                                             d. Not to take aspirin or over-the-counter
                                                                medications without the PHCP’s
                                                                approval
                                                             e. To report signs of a blood dyscrasia,
                                                                such as sore throat or mouth, malaise,
                                                                fatigue, bruising, or bleeding
                                G. Cycloserine
                                             1. Description
                                                             a. Interferes with cell wall biosynthesis
                                                             b. Used to treat MDR-TB when significant
                                                                resistance to other medications is
                                                                expected

                                             2.        Contraindications and cautions

                                                             a. Use of alcohol or ethionamide increases
                                                                the risk of seizures
                                                             b. Used with caution in clients with a



                                                         1639
   1634   1635   1636   1637   1638   1639   1640   1641   1642   1643   1644