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

Increasing the IV fluid flow rate is a critical task requiring clinical judgment and should not be delegated to an unlicensed nursing assistant. This task involves assessing the patient's hemodynamic status and fluid balance, which requires nursing expertise.

Choice B rationale

Listening to breath sounds in all lung fields is an assessment task that requires nursing knowledge and skills. It involves identifying normal and abnormal breath sounds, which is outside the scope of practice for an unlicensed nursing assistant.

Choice C rationale

Checking the abdominal dressing for bleeding is an assessment and monitoring task. It involves evaluating the wound site for signs of hemorrhage or infection, which requires nursing assessment skills.

Choice D rationale

Documenting the amount of output on the I&O sheet is a task that can be delegated to an unlicensed nursing assistant. This task involves recording measurements, which does not require clinical judgment and is within the assistant's scope of practice.

A. Assess the client's vital signs. B. Determine if the client's IV is patent. C. Monitor the client's white blood count. D. Send a stool specimen to the laboratory.

Correct Answer is B

Explanation

Choice A rationale

Assessing the client's vital signs is important for monitoring overall health but does not directly address the need to ensure proper IV function before administering medication.

Choice B rationale

Determining if the client's IV is patent is crucial before administering any IV medication. A patent IV ensures the medication will be delivered directly into the bloodstream without complications such as infiltration or blockage.

Choice C rationale

Monitoring the client's white blood count is important for tracking infection or inflammation but is not the immediate step before administering an IV antibiotic.

Choice D rationale

Sending a stool specimen to the laboratory can help diagnose underlying conditions but is not the next step before administering an IV antibiotic.

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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

The nurse is caring for a client in the immediate postoperative period after an open cholecystectomy. Which task could be delegated to an unlicensed nursing assistant?

Correct Answer is D

Explanation

A 72-year-old client is admitted to the hospital with a diagnosis of acute exacerbation of diverticulitis. The healthcare practitioner prescribes the IV antibiotic ceftazidime. After confirming the client's allergies, which intervention should the nurse implement NEXT before giving the drug?

Correct Answer is B

Explanation

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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: