rse is getting ready to administer a large-volume cleansing enema to a client who is undergoing bowel surgery. Which action should the nurse take prior to the procedure? a. Lubricate the tip of the rectal tube for easy insertion. b. Cool the solution to facilitate easy flow. c. Introduce the solution intermittently to prevent client cramping.
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The nurse is getting ready to administer a large-volume cleansing enema to a client who is
undergoing bowel surgery. Which action should the nurse take prior to the procedure?
a. Lubricate the tip of the rectal tube for easy insertion.
b. Cool the solution to facilitate easy flow.
c. Introduce the solution intermittently to prevent client cramping.
d. Instruct the client to bear down when inserting the tube.
Answer choose one?
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Solved in 2 steps
- The nurse is getting ready to administer a large-volume cleansing enema to a client who is undergoing bowel surgery. Which action should the nurse take prior to the procedure? a. Lubricate the tip of the rectal tube for easy insertion. b. Cool the solution to facilitate easy flow. c. Introduce the solution intermittently to prevent client cramping. d. Instruct the client to bear down when inserting the tube.While Administering an enema, the patient complains of abdominal cramps. Which of the following is the best action by the nurse? Answer Choices: a. Continue giving enema as abdominal cramping is a normal phenomenon. b. Slow down the rate of infusion c. Stop giving the enema d. Administer analgesicsA client is scheduled to receive phenytoin (Dilantin) 100 mg orally at 6 PM but is having difficulty swallowing capsules. What method should the nurse use to help the client take the medication? a. Sprinkle the powder from the capsule into a cup of water b. Administer 4 mL of phenytoin suspension containing 125 mg/5 mL c. Obtain a change in the administration route to allow an IM injection d. Insert a rectal suppository containing 100mg of phenytoin
- The nurse is feeding an older adult who was admitted with aspiration pneumonia. The client is weak and begins coughing while attempting to drink through a straw. Which intervention should the nurse implement? A. Teach coughing and deep breathing exercises B. Assess the client's oral cavity for ulceration C. Request thick nectar liquid for the client D. Monitior the client when using a straw for liquidsA nurse is assessing a client who has acute pancreatitis. Which of the following findings should the nurse expect?A.HypertensionB.Hyperactive bowel soundsC.Peripheral edemaD.Periumbilical discolorationA nurse is administering a tube feeding for a patient who ispost bowel surgery. When attempting to aspirate the contents,the nurse notes that the tube is clogged. What would be thenurse’s next action following this assessment?a. Use warm water and gentle pressure to remove the clog.b. Use a stylet to unclog the tubes.c. Administer cola to remove the clog.d. Replace the tube with a new one.
- A client will be sent home on diuretic therapy and has a prescription for liquid potassium chloride (KCl). What teaching will the nurse provide before the client goes home? a. Do not dilute the solution with water or juice; drink the solution straight. b. Increase the use of salt substitutes; they also contain potassium. c. Report any weakness, fatigue, or lethargy immediately. d. Take the medication immediately before bed to prevent heartburn. Why letter c is the correct answer and explain why other options are incorrectA teenager is admitted for complications resulting from bulimia nervosa. The nurse's admission assessment should pay close attention to which manifestations relating to complications associated with this disorder? Select all that apply. A. Dry, cracked lips and poor skin turgor. B. Missing tooth enamel and increased number of dental caries. C. Painful swallowing and stomach cramping related to reflux and esophagitis. D. Fruity breath and labored, deep, gasping respirations. E. Painless enlargement of the parotid gland due to vomitin You are assessing a client with suspected dysphagia. Which cranial nerves (CN) should the nurse assess? Select all that apply. A. CN I B. CN V C. CN IX D. CN X E. CN XI F. CN XII Which effect of the sympathetic nervous system is most responsible for the development of duodenal ulcers due to anxiety and stress? A. Inhibition of the…A teenager is admitted for complications resulting from bulimia nervosa. The nurse's admission assessment should pay close attention to which manifestations relating to complications associated with this disorder? Select all that apply. A.Dry, cracked lips and poor skin turgor. B.Missing tooth enamel and increased number of dental caries. C.Painful swallowing and stomach cramping related to reflux and esophagitis. D.Fruity breath and labored, deep, gasping respirations. E. Painless enlargement of the parotid gland due to vomitin You are assessing a client with suspected dysphagia. Which cranial nerves (CN) should the nurse assess? Select all that apply. A.CN I B.CN V C.CN IX D.CN X E. CN XI F. CN XII Which effect of the sympathetic nervous system is most responsible for the development of duodenal ulcers due to anxiety and stress? A.Inhibition of the actions of Brunner glands B.Overstimulation of the oxyntic glands C.Suppression cholecystokinin D.Inflammation of the parotid glands
- A nurse is feeding an elderly patient who has dementia.Which intervention should the nurse perform to facilitate thisprocess?a. Stroke the underside of the patient’s chin to promoteswallowing.b. Serve meals in different places and at different times.c. Offer a whole tray of various foods to choose from.d. Avoid between-meal snacks to ensure hunger at mealtime.An older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets. To promote best absorption of the medication, which information should the nurse include in the discharge instructions? A. Take the tablet with a daily multivitamin. B. Bedtime is the best time to take the tablet. C. Wait 2 hours after meals to take the tablet. D. Crush the tablets and mix with pudding.A patient complains of abdominal pain that is difficult tolocalize. The nurse documents this as which type of pain?a. Cutaneousb. Visceralc. Superficiald. Somatic