The nurse is preparing to give an adult client an enema as ordered by the client's physician. The client says, "I don't want to have an enema." What action should the nurse take?
a. Leave immediately without performing the procedure.
b. Explain to the client why the procedure is ordered and the consequences of not accepting the procedure.
c. Give the enema to the client over his objec-tions.
d. Call the nursing supervisor.
B
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A patient is admitted to the hospital inpatient treatment unit for alcohol intoxication. After 2 days without alcohol, he is medically stable enough to begin therapy. He begins individual therapy and group sessions with Alcoholics Anonymous
Prior to discharge, the nurse anticipates the physician might also start him on which medication? a. Simethicone b. Disulfiram c. Metamucil d. Milk of magnesia
Patients with a dry wound base have a better chance of wound healing if certain approaches are used. Nursing care would be correctly focused on the maximum outcome if which interventions were used?
a. Using dry gauze dressings and a liquid antimicrobial into the wound b. Optimal nutritional support and the use of hydrogel dressings c. Bathing frequently with soap and the use of transparent film dressings d. Using nonstick pads and enzymatic débriding agents
The nurse suspects that an adolescent is working through the stages of spiritual development. What observations did the nurse make to come to this conclusion?
1. Imitated behavior demonstrated by parents 2. Conceptualized angels and devils with the use of imagination 3. Compartmentalized differences between spiritual beliefs with friends 4. Determined differences between spiritual beliefs as being right or wrong 5. Met with the church priest to talk about the differences in spiritual beliefs
What is the most important precaution for the nurse to teach a patient who is prescribed transdermal rivastigmine (Exelon)?
a. Always remove old patches daily and apply the new patch to a different site. b. Report any difficulty starting the urinary stream to your prescriber immediately. c. Place the patch on the neck or forehead so that the drug reaches the brain more quickly. d. For best drug absorption, hold a warm wet washcloth over the patch for 5 minutes after applying it.