A patient has elevated blood urea nitrogen (BUN) and serum creatinine levels. Which bowel preparation order would the nurse question for this patient who is scheduled for a renal arteriogram?
a. Fleet enema
b. Tap-water enema
c. Senna/docusate (Senokot-S)
d. Bisacodyl (Dulcolax) tablets
ANS: A
High-phosphate enemas, such as Fleet enemas, should be avoided in patients with elevated BUN and creatinine because phosphate cannot be excreted by patients with renal failure. The other medications for bowel evacuation are more appropriate.
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A nurse tests a reflex on a 9-month-old infant's right foot by stroking the surface of the infant's foot, moving from the sole laterally up and across to the great toe. What is the expected response?
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