When Ashae, a CNA, attempts to give an enema to a patient, she finds that he cannot insert the tip of the enema bottle. It seems to push against something hard. What should Ashae do?
A. Have the patient breathe deeply, then try to insert the tip further.
B. Inform her supervising nurse of the problem.
C. Insert the tip deeper, up to 5 inches.
D. Press on the patient's abdomen, to release the blockage.
Answer: B
You might also like to view...
The nurse is assessing the family of a pediatric client who has been confined to bed after an accident. Adaptation is expressed by: Standard Text: Select all that apply
1. Effective coping 2. Ineffective coping 3. Appropriate behavior 4. Minimization 5. Undoing
The nurse formulates the following nursing diagnosis for a client with MS: Impaired Physical Mobility related to muscle weakness. Useful interventions the nurse could plan include
a. encouraging long naps or rest periods. b. encouraging strengthening exercises for affected muscles every 4 hours. c. having the client perform ROM exercises at least two times daily. d. performing all the activities of daily living (ADLs) for the client.
Based upon the toddler's developmental stage, the nurse giving medications to a toddler would most likely say:
a. "You must take this medicine right now." b. "Would you like me to give you your medicine, or would you like your mommy to give it to you?" c. "I have to give you this medicine on time because the health care practitioner ordered it." d. "Be a good child and take your medicine, as it will make your mommy and daddy very happy."
The client is receiving carbamazepine (Tegretol) for control of seizures. The client tells the nurse she plans to become pregnant. Which response by the nurse is the most appropriate?
1. "Please talk to your doctor; this drug is contraindicated in the pregnancy." 2. "Your medication dose will need to be decreased during your pregnancy." 3. "Your medication dose will need to be increased during your pregnancy." 4. "Please talk to your doctor; you will need a safer drug like valproic acid (Depakene)."