A student nurse is working with a preceptor to administer an enema to the patient. Which action by the student prompts intervention and redirection by the preceptor?
a. Water-soluble lubricant is applied to the end of the enema tubing.
b. The enema tubing is primed with solution that has been warmed.
c. The patient is positioned comfortably in the right side-lying Sims position.
d. The patient's bedpan is put at the bedside in preparation for use.
ANS: C
The patient should be placed in the left side-lying Sims position prior to enema administration so that the enema fluid will readily flow through the colon without having to go uphill. The other actions demonstrate correct enema administration steps.
You might also like to view...
Strategies to prevent osteoporosis include
a. Adding calcium to the diet, exercising, and avoiding alcohol b. Adding calcium to the diet, taking insulin, and decreasing fat intake c. Adding calcium to the diet, avoiding smoking, and taking aspirin d. Taking insulin
A group of students is discussing pancreatitis with their nursing instructor. What should the instructor tell the students is an important nursing intervention for a patient with pancreatitis?
A) Assess current nutritional status and increased metabolic requirements. B) Feed the patient 6 small meals a day. C) Provide only liquid nourishment. D) Encourage activity.
The nurse assesses a client with Guillain-Barré syndrome during plasmapheresis. Which complication does the nurse monitor for during this procedure?
a. Tachycardia b. Hypovolemia c. Hyperkalemia d. Hemorrhage
A patient calls from home because of a concern about the appearance of a vial of insulin lispro. The patient reports that the solution appears cloudy. What would be the nurse's best response?
1. "Agitate the solution, and the granules should disperse." 2. "Discard the vial. The solution should be clear." 3. "Proceed with the injection. Drawing the solution into the syringe will mix the particles." 4. "Lispro is always cloudy. Proceed with the injection."