The nurse has been directed to provide an enema for an elderly female patient who has very poor rectal sphincter control. Which position is most appropriate for this patient?
a. Sims' position
b. Dorsal recumbent position on the bedpan
c. Sitting on the toilet
d. Right lateral position
B
If the patient has poor sphincter control, position the patient on the bedpan in a comfortable dorsal recumbent position. Patients with poor sphincter control cannot retain all of the enema solution. Administering an enema with the patient sitting on the toilet is unsafe because curved rectal tubing can abrade the rectal wall.
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Why are airborne precautions more stringent than droplet precautions?
A. Microorganisms requiring airborne precautions are more resistant to antibiotics than are microorganisms requiring droplet precautions. B. Microorganisms requiring airborne precautions are lighter and stay suspended in the air longer than microorganisms requiring droplet precautions. C. There is no true difference between airborne precautions and droplet precautions other than the degree of sophistication and depth of resources of the health care agency. D. Microorganisms that form droplets are viruses, which cause diseases that are self-limiting, and those that are truly airborne are bacteria, which cause diseases that require antibiotic therapy.
Patency of the nares must be determined at birth because:
a. of the possibility of polyps b. mouth breathing will exhaust the newborn c. the baby will have nasal flaring if not patent d. newborns are nose breathers
Women using long-term inhaled glucocorticoids should be advised to:
1. avoid weight-bearing exercise. 2. ensure adequate calcium and vitamin D intake. 3. discontinue the agents when anticipating exertional activities. 4. weigh themselves daily.
As a healthcare professional, how would you explain to a diabetic patient the outcome of discontinuing thyroid treatment without notifying the physician?
A. Stopping thyroid therapy may bring about hypoglycemia unless the antidiabetic medication is readjusted. B. Stopping thyroid therapy may bring about exophthalmos. C. Stopping thyroid therapy may bring about hyperglycemia unless the antidiabetic medication is readjusted. D. None of these are correct.