A nurse assesses the abdomen of a client before and after administering a small-volume cleansing enema. What condition would be an expected finding?
A) Increased bowel sounds
B) Abdominal tenderness
C) Areas of distention
D) Muscular resistance
Ans: A
The goal of a cleansing enema is to increase peristalsis, which should increase bowel sounds.
You might also like to view...
Most qualitative observational data are recorded on videotapes
A) True B) False
Which of the following statements is an appropriate nursing diagnosis for an client 80 years of age diagnosed with congestive heart failure, with symptoms of edema, orthopnea, and confusion?
A) Extracellular volume excess related to heart failure, as evidenced by edema and orthopnea B) Congestive heart failure related to edema C) Fluid volume excess related to loss of sodium and potassium D) Fluid volume deficit related to congestive heart failure, as evidenced by shortness of breath
An older adult patient is diagnosed with hypothyroidism. The initial free T4 level is 0.5 mg/dL, and the TSH level is 8 microunits/mL. The prescriber orders levothyroxine (Levothroid) 100 mcg/day PO. What will the nurse do?
a. Administer the medication as ordered. b. Contact the provider to discuss giving the levothyroxine IV. c. Request an order to give desiccated thyroid (Armour Thyroid). d. Suggest that the provider lower the dose.
Which term describes small, fingerlike projections of the small intestinal lining that provide a large surface area for absorption of nutrients into the bloodstream?
A. flagella B. cilia C. villi D. fimbriae