MC Clinical Situation: You administer a Fleet's enema to a client who expels only about half of the solution with small flecks of brown stool returned with the solution
The client states she needs another enema because she does not feel as though she has emptied her bowel completely. To provide a more effective result if a repeat enema is ordered, the nurse instructs the client to A. Use a bedpan for expulsion.
B. Hold the enema solution for 7 minutes.
C. Remain on her right side for 10 minutes.
D. Insert tip of enema tube at least 6 inches.
C
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The nurse is caring for a mother of three young children who has a 3-year history of myasthenia gravis. She says to the nurse, "I just wish I could keep helping in my children's classrooms in the mornings
I get so fatigued, I have had to stop going." Which statement by the nurse can help this mother best cope with her problem? a. "You need to realize that you may not be able to do the things you used to do." b. "Getting plenty of sleep the night before you are scheduled to help will give you the stamina you need." c. "If you wait to take your medication after you finish helping in the classroom, you may find that your energy level is better." d. "Time your medication so that its action is peaking during the time you need the most energy."
The nurse is providing care to an older adult Asian-American client diagnosed with respiratory alkalosis. The nurse states to the client, "look into my eyes and breathe with me so that we can slow down your breathing rate."
The client continues to look down and refuses to make eye contact with the nurse. The client's daughter later asks you to teach her how to help her mother to control her breathing. When documenting this client's care, which statement is appropriate for the nurse to include? A) "The client is noncompliant with suggested treatment plan." B) "The client does not understanding the English language." C) "The client's culture does not allow for direct eye contact with the nurse during care." D) "The client's daughter may be abusive."
What is the percentage of patients who are admitted to hospital who are at risk of malnutrition?
a. 25% b. 30% c. 40%
The patient has a serious laceration to the arm. The patient receives a local anesthetic mixed with epinephrine prior to suturing. What does the nurse recognize as the rationale for the epinephrine?
1. Constricted blood vessels will extend the duration of action of the drug. 2. Constricted blood vessels will decrease the amount of pain experienced. 3. Constricted blood vessels will promote relaxation of the patient. 4. Constricted blood vessels will result in decreased bleeding.