The nurse is preparing to administer an enema to an adult patient who has normal sphincter control. For administration of the enema, the patient is placed in which position?
a. Right side-lying
b. Dorsal recumbent
c. Sims'
d. Prone
C
Assist the patient into left side-lying (Sims') position with the right knee flexed. Additionally, place a child in dorsal recumbent position. This allows enema solution to flow downward by gravity along the natural curve of the sigmoid colon and rectum, thus improving retention of solution.
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Access to health care in the United States is most difficult for which group?
A. Rural and poor B. Employed C. Over age 65 D. All of the above
A nurse working on a PICO question has found a large amount of literature available on the topic with multiple studies that have been published. Which type of study should have the best evidence?
a. Meta-analysis of randomized control trials b. Opinion of an expert committee c. One well-designed randomized control trial d. Systematic review of descriptive and qualitative studies
A client is found to be deficient in a mineralocorticoid. The nurse assesses the client for manifestation of this deficiency by noting evidence of:
a. hypotension. b. hypertension. c. bradycardia. d. edema.
Differentiate among quality improvement (QI), research, and evidence-based practice (EBP) by choosing the statement that is accurate
1. Statistical language in research is much more sophisticated than that used in QI. 2. Research and EBP support clinical decision making whereas QI is a monitoring program. 3. Quality improvement efforts help to generate new knowledge in the care of patients. 4. Quality improvement is not dependent upon a specific theory as is research and EBP.