The tip of the enema tubing should be inserted into the anus
A. 1 to 2 inches.
B. 2 to 6 inches.
C. 2 to 4 inches.
D. 6 to 8 inches.
Answer: C
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Which of the following are examples of nonselective mechanical debridement methods? Select all that apply
a. Wet-to-dry dressings b. Sharp debridement c. Whirlpool d. Pulsed lavage
The nurse is performing an assessment of a newly admitted patient. During the skin integrity assessment, the nurse notices an area on the right heel that is black and draining purulent, foul-smelling exudates
The nurse should document this as a pressure ulcer in: 1. stage I. 2. stage II. 3. stage III. 4. stage IV.
An elder client is being prepared for transfer to a long-term care facility and expresses sorrow at not being able to return to his own home. The nurse can best help the client cope with this change by:
A) explaining why it is necessary to move to the new facility. B) explaining why it would be unsafe to remain in his own home. C) showing him pictures of the new facility. D) asking him to tell you about significant events in his life.
When asked to touch the ear to the shoulder, a client reports pain. Which of the following would the nurse do next?
A) Perform muscle strength against resistance. B) Refer the client for further evaluation. C) Flex and then hyperextend the neck. D) Palpate the paravertebral muscles for pain.