After having an enema tube inserted into the rectum, a patient begins to exhibit symptoms of a vagal response. A nurse should immediately do which of the following? Select all that apply
1. Place the patient in the supine position.
2. Remove the enema tube from the rectum.
3. Flush the colon with Kayexalate.
4. Administer a small dose of atropine.
5. Assess pulse rate, skin color, and whether the patient is diaphoretic.
ANS: 1, 2, 5
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An older adult who has OA receives a prescription for alendronate (Fosamax). Which instruction should the nurse include in patient teaching?
a. Use with a bisphosphonate medication. b. Is available for oral use. c. Take this medication for up to 2 years. d. Consume up to 600 mg of calcium daily.
A client tells the nurse "I make a lot of careless mistakes at work and I have a lot of trouble staying
'on task.' Sometimes I know I should be listening to what a speaker is saying, but I cannot seem to tune in. When it comes to organizing, I have a bad time putting things in the right order and I often lose the tools and things I need to complete a task.". The nurse correctly assesses these concerns as problems with a. inattention. b. impulsivity. c. hyperactivity. d. social impairment.
A 40-year-old client with a chronic pelvic infection expresses her desire to conceive after treatment. When discussing this with the client, the nurse keeps in mind that the client is at increased risk for which of the following?
A) Ectopic pregnancy B) Symptoms of menopause C) Decreased menses D) Gestational diabetes
A nurse in a medical care center notices that the sphygmomanometer used to measure the blood pressure of clients has a defective part and gives inaccurate readings. What initial action should the nurse take in this case?
A) Report and label the defective sphygmomanometer immediately B) Replace the sphygmomanometer immediately C) Try to repair the defect in the instrument D) Order a new sphygmomanometer