C) Have you had any relief from urinary pain, burning, or urgency?
Feedback:Phenazopyridine, an over-the-counter urinary analgesic, acts on the mucosa of the urinary tract to relieve urinary pain, burning, itching, or urgency (C) associated with urethritis and cystitis. Although determining if the client is forcing fluids (A), experiencing staining from Pyridium's side effect (B), or having signs of a urinary infection (D) are worthwhile assessments, the therapeutic response of Pyridium is related to urinary discomforts only.
D) Examine mouth daily for bleeding, white spots, and ulcerations
5-fluorouracil (5FU) is an antimetabolite, antineoplastic agent that causes sloughing of the rapid proliferating epithelial cells of the oral mucosa causing ulceration, bleeding, and oral candidiasis (thrush). Daily examination of the oral mucosa (D) should be implemented to identify signs of stomatitis, such as white spots, ulcerations, and bleeding of the mouth, so early intervention can be implemented. Oral commercial products usually contain alcohol, which contributes to inflammation of the oral mucosa, and should be avoided (A). Although monitoring the stool for bleeding (B) should be implemented, stomatitis occurs in 75% of clients who receive 5FU. Foods high in fiber and citric acid should also be avoided (C) to reduce pain and trauma to the mouth.
B) Avoid using any over-the-counter substances containing alcohol
The use of disulfiram (Antabuse) with over-the-counter (OTC) products that contain alcohol causes severe adverse reactions, such as severe nausea, vomiting, chest pain, hyperventilation, tachycardia, seizures, and cardiovascular collapse, and should be avoided (B). Although a smoking cessation program is always a good health recommendation (A), it is not a priority with Antabuse. (C) is inaccurate. Small amounts, as little as 7 ml, of mouthwash or cough syrup that contains alcohol can precipitate a disulfiram reaction and should not be used (D).
7th EditionJulie S Snyder, Mariann M Harding
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4th EditionG Haff, N Triplett