While the nurse is administering an enema with a standard enema bag, which intervention is important to implement?
a. Keeping the solution at room temperature
b. Positioning the patient on the right side
c. Raising the enema bag to 12 inches above the patient
d. Instructing the patient to release the enema solution as soon as possible
A
Maintaining a the correct temperature for the solution is a critical safety precaution. If the solution is too hot it will burn the intestinal mucosa. Cold water can cause abdominal cramping. Solution dripped on inner wrist should be comfortable. Unless patient condition requires a different position, the patient will lay on his/her left side with the top leg flexed (left lateral Sims') and the bag of solution will be hung 18 inches above the rectum. The patient will be instructed to retain the solution as long as possible for maximum therapeutic effect.
You might also like to view...
What actions would be best for patients with osteoarthritis to seek the assistance of physical therapy? (Select all that apply.)
a. Isotonic exercises b. Moist heat application c. Instruction with a transcutaneous electrical nerve stimulation (TENS) unit d. Measures to increase range of motion e. Measures to increase strength
The nurse is developing a teaching plan for parents who need genetic counseling. Which statement by a parent indicates the need for further education?
1. "All the chromosomes are the same size in males and females alike." 2. "Half of the sets of chromosomes come from the mother and the other half comes from the father." 3. "The 23rd pair of chromosomes will determine if our child will be male or female." 4. "One Y chromosome and one X sex chromosome will produce a male child."
The Rinne test indicates a conductive hearing loss if bone conduction (BC) > air conduction (AC)
A) True B) False
Tim is a new patient to your mental health unit. He gets your attention, and when the two of you are alone he informs you that he "has the secret to eternal youth
" He offers to tell you, but he is unable to because "they're out there hiding so they can steal it from me. I must be very careful." Your best therapeutic response to Tim is: A) "Tim, I don't see anyone but you and me. It's time for dinner now. I'll walk with you to the dining room." B) "Tim, nobody can have eternal youth. That's not realistic so don't talk about that anymore." C) "I'd love to hear about it, Tim. Tell me your secret." D) "I'll make sure 'they' are all gone, then you can tell me."