What are three patient positions for administering an enema?
What will be an ideal response?
Three enema positions are: the left-lying Sims' position, the
paraplegic position, and the rotating position.
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A client who is 24 hours postoperative has an oral temperature of 101.8 degrees Fahrenheit. Which of these actions is indicated FIRST?
a. Administering antipyretics as ordered. b. Lowering the room temperature and providing cool washcloths. c. Notifying the surgeon. d. Providing light covers and clothing.
Which assessment finding by the nurse would be suggestive of a minor burn?
1. The involved skin is deep reddish-brown in color and edematous. 2. Blisters begin to form on the skin within the first hour of exposure. 3. The skin remains intact because only the epidermal layer is involved. 4. Scarring will be evident on the edges of the burn in a matter of hours.
The tympanic membrane thermometer is inserted:
a. Into the mouth b. Into the rectum c. Under the arm d. Into the ear
Which nursing diagnosis is appropriate for a patient who insists being called "Your Highness" and demonstrates loosely associated thoughts?
a. Risk for violence b. Defensive coping c. Impaired memory d. Disturbed thought processes