The client, hospitalized with an exacerbation of ulcerative colitis, is prescribed mesalamine rectally via enema.

The client states that an enema is disgusting and wants to know why the medication can't be given orally.

The nurse's best response would be:

Rectal administration delivers the medication directly to the affected area.

It can be given by mouth.I'll contact the health care provider to get an order change.

Oral administration is not possible for treating your ulcerative colitis exacerbation.

I can give it to you orally if you'd prefer.Let me go get a pill instead of the enema.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Rectal administration delivers the medication directly to the affected area. Mesalamine is an anti-inflammatory drug used to treat ulcerative colitis by directly targeting the colon's lining. Administering it rectally ensures that the medication reaches the inflamed tissue without having to pass through the digestive system, providing faster and more effective relief for localized symptoms.

Choice B rationale

It can be given by mouth. I'll contact the health care provider to get an order change. While mesalamine can be administered orally, the enema form is often preferred for exacerbations because it allows direct contact with the affected area, providing quicker and more targeted treatment.

Choice C rationale

Oral administration is not possible for treating your ulcerative colitis exacerbation. This statement is incorrect because mesalamine can be administered orally. However, rectal administration is more effective for localized symptoms during an exacerbation.

Choice D rationale

I can give it to you orally if you'd prefer. Let me go get a pill instead of the enema. This response is not appropriate as it disregards the physician's order and the rationale behind using rectal administration for targeted treatment of the inflamed area.

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Correct Answer is D

Explanation

Choice A rationale

This statement is confrontational and does not provide clear boundaries or expectations for acceptable behavior.

Choice B rationale

Asking about medications does not address the inappropriate behavior and may further escalate the situation.

Choice C rationale

This response is defensive and may provoke further aggression from the client.

Choice D rationale

This statement acknowledges the client's feelings while clearly setting a boundary for unacceptable behavior, promoting a safe environment.

A. Entering a copy of the patient's physician's orders for life-sustaining treatment in the electronic medical record. B. Giving change of shift report to the oncoming RN and CNA at the patient's bedside. C. Explaining the meaning of an advanced directive. D. Looking up the lab results for a neighbor's former spouse.

Correct Answer is D

Explanation

Choice A rationale

Entering a copy of the patient's physician's orders for life-sustaining treatment in the electronic medical record is not a violation of privacy. It is standard practice to document such orders to ensure all healthcare providers are aware of the patient's wishes.

Choice B rationale

Giving change of shift report to the oncoming RN and CNA at the patient's bedside, with the patient's consent, is not a privacy violation. It ensures continuity of care and involves the patient in their care plan.

Choice C rationale

Explaining the meaning of an advanced directive to the patient is part of patient education and is not a violation of privacy. It is essential for patients to understand their options for future healthcare decisions.

Choice D rationale

Looking up the lab results for a neighbor's former spouse without a legitimate reason is a breach of privacy. Nurses must only access patient information that is necessary for their job role and responsibilities.

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The client, hospitalized with an exacerbation of ulcerative colitis, is prescribed mesalamine rectally via enema. The client states that an enema is disgusting and wants to know why the medication can't be given orally. The nurse's best response would be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During an intake assessment, a client with antisocial personality disorder uses profanity, sexual orientation slurs, and threatens to spit at the nurse. What is the MOST appropriate statement or ask for the nurse to make about the client's behavior?

Correct Answer is D

Explanation

Which of the following actions by the nurse would be a violation of the patient's right to privacy?

Correct Answer is D

Explanation

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Which sign or symptom would the nurse expect to find in a client diagnosed with ulcerative colitis?

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During an intake assessment, a client with antisocial personality disorder uses profanity, sexual orientation slurs, and threatens to spit at the nurse. What is the MOST appropriate statement or querry for the nurse to make about the client's behavior?

The client, hospitalized with an exacerbation of ulcerative colitis, is prescribed mesalamine rectally via enema.

The client states that an enema is disgusting and wants to know why the medication can't be given orally.

The nurse's best response would be: