How should a patient be positioned for a cleansing or oil-retention enema?
A. In the supine position
B. In the prone position
C. Lying on the right side
D. In the left-lying Sims' position
Answer: D
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The nurse is planning care for a client with history of rheumatic carditis. Which nursing intervention would be most helpful in preventing further complications?
A) Assess temperature, pulse, respirations, and blood pressure every 4 hours. B) Use clean technique or sterile technique, when applicable, for any invasive procedure. C) Instruct on adequate rest, at least 8 hours, per day. D) Encourage a diet of lean meat and fish in a weekly meal plan.
In caring for a client with Crohn's disease and the nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements related to diarrhea, the nurse would plan to observe for
a. bradycardia. b. increased urine output. c. increasing blood pressure. d. manifestations of anemia.
A client has a new order for a medication that does not have a termination date. The nurse would place this medication order under which classification on the client's medication administration record?
1. Standing 2. PRN 3. STAT 4. Single
The nurse is preparing to administer a fluorquinolone medication to a client with a urinary tract infection. The nurse knows it is important to contact a health care provider immediately if which adverse effects occur?
Standard Text: Select all that apply. 1. Severe diarrhea containing mucous 2. Decreased urine output 3. Nausea 4. Abdominal cramping 5. Headache