The client with irritable bowel disease (IBD) is prescribed sulfasalazine, a sulfonamide antibiotic. Which intervention should the nurse implement when administering the medication?

Choice A rationale

Clients with acute appendicitis often lie still in a fetal position to reduce pain caused by movement. The fetal position helps decrease tension on the abdominal muscles, providing relief.

Choice B rationale

Initial pain in appendicitis is often crampy and diffuse but later localizes to the right lower quadrant (McBurney's point). The progression of pain from generalized to localized is typical in appendicitis.

Choice C rationale

Rhinitis (nasal inflammation) and myalgias (muscle pain) are symptoms more associated with viral infections like the flu, not acute appendicitis. These symptoms do not support a diagnosis of appendicitis.

Choice D rationale

A lack of appetite (anorexia) is common in clients with appendicitis due to the discomfort and inflammation in the abdomen, making this a supportive symptom.

Choice A rationale

The 19-year-old Native American male hospitalized with a shoulder injury is less likely to develop gallstones. While there is a higher prevalence of gallstones among Native American populations, the risk is not significantly elevated in a young male with no other contributing factors such as obesity, rapid weight loss, or prolonged immobility.

Choice B rationale

The 40-year-old Caucasian pregnant woman who has been on bedrest for the past three months is at a high risk for developing gallstones. Pregnancy increases the risk due to hormonal changes that slow down the emptying of the gallbladder. Prolonged bed rest can lead to bile stasis, and the increased levels of estrogen can raise cholesterol levels in bile, both contributing to gallstone formation.

Choice C rationale

The 64-year-old African-American woman being treated for GERD is at a moderate risk for gallstones. Age and gender are risk factors for gallstones, but without other significant contributing factors such as obesity, rapid weight loss, or specific family history, her risk is not as high as the pregnant woman on bed rest.

Choice D rationale

The 25-year-old Asian woman who has been losing weight steadily for the past year is also at risk for gallstones, but the risk is less compared to the pregnant woman on bed rest. Rapid weight loss can cause gallstones due to the liver secreting extra cholesterol into bile, but steady weight loss over a longer period is less likely to cause such rapid changes in bile composition. .