A nurse has delegated the administration of a tap water enema to the assistive personnel. The assistive personnel demonstrates understanding of the procedure when she states which of the following? Select all that apply
A. "I will lower the enema when the patient complains of cramping."
B. "I will speed the enema administration when the patient complains of cramping."
C. "I will withdraw the tube when the patient complains of cramping."
D. "I will clamp the tubing when the patient complains of cramping."
A, D
When the enema is instilled too rapidly, the instillation will cause pain and cramping. The instil-lation should be slowed down. When a patient complains of cramping, lower the container, clamp the tube, or temporarily stop the instillation.
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While at lunch, a nurse heard other nurses at a nearby table talking about a patient they did not like. When they asked him what he thought, he politely refused to join in the conversation. What value was the nurse demonstrating?
A) the importance of food in meeting a basic human need B) basic respect for human dignity C) men do not gossip with women D) a low value on collegiality and friendship
Potential barriers to effective communication can impact how the message is delivered and if it is received. Which of the following are some of these barriers to communication?
a. stereotyping b. internal locus of control c. inattention d. stress e. past-oriented culture f. giving advice
The nurse is completing an assessment on an older patient who is having difficulty falling asleep. Which factor has the potential to contribute to this difficulty?
a. Depression b. Smoking c. Alcohol d. Fatigue
Large rings and bracelets are dangerous because:
a. Patients and residents can pull them off. b. They can scratch patients and residents. c. They provide a place for microbes to grow and multiply. d. They can damage care equipment.