A client is on bedrest, and an enema has been ordered. In what position should the nurse position the client?

Sims

Trendelenburg

Fowlers

Prone

Answer and Explanation

The Correct Answer is A

A.   The Sims position (lying on the left side with the upper knee flexed) is commonly used for administering enemas.
B.   Trendelenburg (head lower than feet) would increase the risk of aspiration and fluid overload.
C. Fowlers (sitting at a 45-60-degree angle) would decrease the flow of the solution and cause discomfort.
D.   Prone (lying on the stomach) position would prevent the insertion of the enema tube and the administration of the solution.

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Correct Answer is C

Explanation

A. While a fall-risk patient is important, the patient is currently sleeping and has a bed alarm in place, reducing immediate risk.
B. Pain management is important, but the patient is not in immediate distress, and pain can be addressed after the more critical patient is attended to.
C. A patient with a tracheostomy experiencing wheezing and increased secretions may be at risk for airway compromise and need immediate attention.
D. Turning a patient with a pressure ulcer, while important for prevention, is not as urgent as addressing potential airway issues in the tracheostomy patient.

A. Laxative Usage B. Paralytic ileus C. Diarrhea D. Hemorrhoids

Correct Answer is D

Explanation

A. Laxative usage is more likely to cause diarrhea or loose stools rather than rectal pain from distended veins.
B. Paralytic ileus is characterized by a lack of bowel motility and is not associated with distention of veins in the rectum.
C. Diarrhea is unlikely to cause pain related to distention of rectal veins.
D. Hemorrhoids are swollen veins in the rectum and anus, causing pain and discomfort, especially during bowel movements.

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A client is on bedrest, and an enema has been ordered. In what position should the nurse position the client?

Nursing Test Bank

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