While the nurse is administering an enema, the patient complains of some cramping. Which action should the nurse take next?
a. Discontinue the procedure completely.
b. Increase the height of the solution.
c. Slow the rate of infusion.
d. Have the patient roll into a supine position.
A
If abdominal cramping develops, decrease the height of the enema bag and slow the rate of instillation. Changing the patient position will not be helpful. Sometimes, temporarily stopping the solution (taking a break) minimizes cramping.
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The intraoperative nurse is implementing a care plan that addresses the surgical patient's risk for vomiting. Interventions that address the potential for vomiting reduce the risk of what subsequent surgical complication?
A) Impaired skin integrity B) Hypoxia C) Malignant hyperthermia D) Hypothermia
Which of the following is the least likely research tradition to be used by qualitative nurse researchers?
A) Experimental B) Phenomenologic C) Ethnographic D) Grounded theory
The nurse is examining a pregnant client and notes the cervix has a bluish-purple change in coloration. The nurse would correctly document which of the following conditions in this situation?
1. Nabothian cyst 2. Goodell's sign 3. Chadwick's sign 4. Bloody show
A nurse begins work at an agency that provides care to members of a minority ethnic population. The nurse will be better able to demonstrate cultural competence after
a. identifying culture-bound issues. b. implementing scientifically proven interventions. c. correcting inferior health practices of the population. d. exploring commonly held beliefs and values of the population.