A client with inflammatory bowel disease is prescribed budesonide (Entocort-EC) and asks why this drug is ordered. The nurse correctly explains:
1. "The pharmacist will be making rounds this shift, and will explain the rationale to you at that time."
2. "Your health care provider ordered this medication to treat the underlying disease pathology."
3. "This is a corticosteroid that is not absorbed and remains in the intestine to treat the inflammation locally, without causing significant systemic effects."
4. "This is a systemic corticosteroid that will decrease system wide inflammation."
Correct Answer: 3
Rationale 1: The nurse must know the rationale for medications and must articulate this to the client as part of client education.
Rationale 2: This response does not give the client any information.
Rationale 3: Budesonide is a locally acting anti-inflammatory without significant systemic effects.
Rationale 4: Budesonide does not prevent system wide inflammation.
Global Rationale: Budesonide is a locally acting anti-inflammatory without significant systemic effects. It does not prevent system wide inflammation. The nurse must know the rationale for medications and must articulate this to the client as part of client education.
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