The nurse must administer an enema to an adult patient with constipation. Which of the following would be a safe and effective distance for the nurse to insert the tubing into the patient's rectum? Select all that apply

a. 2 in. (5.1 cm)
b. 3 in. (7.6 cm)
c. 4 in. (10.2 cm)
d. 5 in. (12.7 cm)


B, C
When administering an enema, the nurse should insert the tubing about 3 to 4 inches into the patient's rectum. Two inches would not be effective because it would not place the fluid high enough in the rectum. Five inches is too far.

Nursing

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The nurse is planning a teaching session regarding ulcers for the residents of an assisted living complex. Which of the concepts may be included in the presentation?

A) Gastric ulcers are more common then duodenal ulcers. B) The individual having a peptic ulcer will most likely experience pain when empty. C) A colonoscopy is the most common test used to diagnose the presence of a gastric ulcer. D) The first sign of a peptic ulcer may be serious gastrointestinal bleeding.

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Key customers for nurses are:

a. centralized pharmacists, laboratory tech-nicians, and pathologists. b. clients, physicians, and the employing or-ganization. c. nurse's aides, human resources recruiters, and dietary workers. d. respiratory therapists, oxygen distributors, and scrub technologists.

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The nurse is performing an assessment on zone III of the neck on a client with a cervical spine injury. The nurse understands that zone III is comprised of which structures? Select all that apply.

A) Esophagus B) Distal carotid and vertebral arteries C) Jugular veins D) Pharynx E) Spinal cord

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A client is being treated for a positive gonorrhea/chlamydia culture with ceftriaxone. The order is for 125 mg IM. The vial reads 250 mg/2 mL. The nurse draws up ____________________

Fill in the blank(s) with correct word

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