A hospital client went five days without having a bowel movement despite maintaining adequate food and fluid intake. The nurse obtained an order for hypotonic cleansing enemas as needed and has administered two in succession, each with good effect
The nurse should be wary of administering more enemas because of the risk of causing what problem? A) Intestinal rupture
B) Electrolyte imbalances
C) Backflow of feces into the small intestine
D) Dependence on enemas for normal bowel function
B
Feedback:
If several enemas are administered in succession, fluid and electrolyte imbalances may occur due to fluid shifts in the intestines. Rupture is a risk with large volume enemas rather than successive enemas and backflow of feces is not a common occurrence. Dependence on enemas results for prolonged use over time, not frequent use over a short time.
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A nurse delegates the task of infant vital sign assessment to a nurse technician. The nurse should instruct the technician to:
1. Report any infant using abdominal muscles to breathe. 2. Report any infant with a breathing pause that lasts 10 seconds or less. 3. Count respirations for 15 seconds and multiply by 4 to get the rate for 1 minute. 4. Report any infant with a breathing pause that lasts 20 seconds or longer.
The end of shift report is vital for the coordination of patient care. Which of these statements would require an intervention if overheard by the charge nurse during report?
a. "Mr. Smith is quite afraid of the outcome of his procedure today. I had to give him an anti-anxiety medication.". b. "Mr. Smith is quite afraid of the outcome of his procedure today. I called his wife to come in early.". c. "Mr. Smith is quite afraid of the outcome of his procedure today. I called the chaplain to see him and his wife today.". d. "Mr. Smith is quite afraid of the outcome of his procedure today. I was in the room most of the day.".
What is the dosage in this syringe? 
A. 2.2 mL B. 2.7 mL C. 2 mL D. 2.5 mL
Which of the following measures should be taken when implementing a treatment plan with digoxin for a patient who already takes quinidine for arrhythmias?
A. An increased dosage of digoxin due to antagonism with quinidine B. An increased dosage of quinidine due to antagonism with digoxin C. A decreased dosage of digoxin due to the potentiation of digoxin levels in the plasma D. None of the above