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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Choice A rationale
It's widely recommended to attempt lifestyle modifications, such as diet and exercise, before initiating pharmacotherapy for obesity. This approach is due to the potential side effects and costs associated with weight loss medications, making non-pharmacological interventions a safer first option.
Choice B rationale
This statement is incorrect. Drugs used for weight loss can have significant side effects, including gastrointestinal disturbances, increased heart rate, and potential risks of abuse or dependence. It is important for healthcare providers to weigh the benefits and risks before prescribing these medications.
Choice C rationale
Weight loss drugs are typically used in conjunction with lifestyle changes and are not recommended to be used for prolonged periods if ineffective. Continuous monitoring and evaluation of the drug's effectiveness and side effects are crucial in managing obesity with pharmacotherapy.
Choice D rationale
Correct. Current drugs approved for weight loss generally work by either reducing nutrient absorption (e.g., orlistat) or suppressing appetite (e.g., phentermine). These mechanisms help individuals decrease caloric intake and promote weight loss.
Choice E rationale
This statement is inaccurate. The amount of weight loss with medication varies among individuals, and losing at least forty pounds is not a guaranteed outcome. The effectiveness of weight loss drugs depends on several factors, including adherence to the medication and accompanying lifestyle changes.
Correct Answer is A
Explanation
Choice A rationale
Drinking tea instead of coffee might still exacerbate GERD symptoms because tea contains caffeine and other compounds that can relax the lower esophageal sphincter, leading to acid reflux. Both caffeinated and decaffeinated teas can be problematic, although typically not as much as coffee.
Choice B rationale
Eating smaller meals more frequently can help manage GERD symptoms. Large meals can increase abdominal pressure, causing stomach contents to reflux into the esophagus. Frequent small meals reduce this pressure and help prevent reflux.
Choice C rationale
Not eating 3 hours before bedtime is advised to minimize GERD symptoms. Lying down soon after eating can cause stomach contents to back up into the esophagus. Waiting several hours after eating allows food to move out of the stomach.
Choice D rationale
Sleeping with the head of the bed elevated can reduce GERD symptoms by preventing stomach acid from flowing back into the esophagus. Gravity helps keep stomach contents down when the upper body is elevated.
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