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 D
Explanation
Choice A rationale
Pain relieved by eating food is more characteristic of duodenal ulcers rather than gastric ulcers. Gastric ulcers typically cause pain shortly after eating due to the stomach's exposure to gastric acid and food content.
Choice B rationale
Pain occurring at night can be associated with both duodenal and gastric ulcers. However, it is not as distinctive for gastric ulcers as the timing relative to meals.
Choice C rationale
Pain always on the left side is not a typical presentation for gastric ulcers, as the location can vary and is often associated with the mid-epigastric area rather than a specific side.
Choice D rationale
Pain occurring 30 minutes after eating is consistent with gastric ulcers. This timing reflects the direct irritation of the ulcerated gastric mucosa by the ingested food and gastric acid.
Correct Answer is D
Explanation
Choice A rationale
Urine specific gravity of 1.035 indicates dehydration, which is concerning but not the most critical issue in a client with a bowel obstruction.
Choice B rationale
Colicky pain is typical of bowel obstruction as the intestines try to move contents past the obstruction, and while concerning, it is expected.
Choice C rationale
Serum sodium of 132 mEq/L indicates mild hyponatremia, which is concerning but not immediately life-threatening in the context of bowel obstruction.
Choice D rationale
Frank blood in the N/G suction container indicates possible bowel ischemia or perforation, which requires immediate intervention and is the most concerning finding.
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