The nurse administers acetaminophen (Tylenol) 650 mg per rectum. Which does the nurse implement to administer a rectal suppository properly?
1. Assist client to right lateral position and flex left leg.
2. Perform preadministration digital rectal examination.
3. Wash hands and apply sterile gloves before procedure.
4. Insert the suppository 4 inches into the client's rectum.
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4. The nurse inserts the suppository about 4 inches into the client's rectum to clear the rectal sphincters because the sphincters help to keep the medication in the client's rectum.
1. The nurse assists the client into the left lateral position to take advantage of normal anatomy of the descending colon; this curvature in the colon helps to sequester the medication, contain it in the client, and increase its effectiveness.
2. The nurse avoids performing a digital examination before inserting a suppository because it is not indicated.
3. Washing hands is always a reasonable nursing action; however, clean gloves are sufficient for this procedure because the nurse wants to avoid contamination from the rectum.
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A) Primary B) Secondary C) Tertiary D) ABCDE
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a. urinary bladder b. ear c. rectum d. crown of the tooth