The nurse is caring for a client who is 4 hours post-op after an open cholecystectomy. The nurse would expect the client's bowel sounds to be:

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.

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.