The nurse is preparing to administer a rectal suppository to a patient. The patient should be assisted to which position for insertion of the rectal suppository?
a. Prone
b. Supine
c. Dorsal recumbent
d. Left Sims' position
D
Left side-lying Sims' position exposes the anus and helps the patient to relax the external anal sphincter, while lessening the likelihood that the suppository or feces will be expelled. Supine and dorsal recumbent positions would make access to the anus difficult and would allow the suppository to slip out. The prone position would make inserting the suppository difficult.
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Which of the following characteristics should be included in a therapeutic nurse-client relationship? (Select all that apply.)
1. Meeting the psychological needs of the nurse and the client 2. Ensuring therapeutic termination 3. Promoting client insight into problematic behavior 4. Collaborating to set appropriate goals 5. Meeting both the physical and psychological needs of the client
What factor does the nurse recognize as the greatest contributing factor to poor outcomes for patients with anorexia nervosa?
1. The patient resents or refuses treatment. 2. There are limited treatments for this condition. 3. Changes in the patient's behavior are irreversible. 4. Treatment approaches are fragmented and controversial.
A client had a mastectomy yesterday. Today, the nurse must teach this client exercises to promote function on the operative side. When should this teaching occur?
1. Before administering pain medication, so the client is still alert. 2. Whenever the client expresses a desire to learn, despite pain status. 3. Approximately 30 minutes after administering pain medication. 4. Immediately after administering pain medication.
A Navy war veteran is seeking advice about getting treatment for a chronic respiratory problem at the local veterans' hospital. The nurse's initial response is to ask:
a. "Why aren't you considering the local general hospital for the care that you need?" b. "Are you willing to travel to a veterans' hospital that offers respiratory diagnostic services?" c. "Have you ever been treated at a veterans' hospital before?" d. "Is the problem related to something that occurred while you were in the Navy?"