A client is on bedrest, and an enema has been ordered. In what position should the nurse position the client?
Sims
Trendelenburg
Fowlers
Prone
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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Related Questions
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.
Correct Answer is ["B","C"]
Explanation
A. Administering an enema may not be the first-line intervention and may have potential risks. Dietary and lifestyle changes are usually recommended first.
B. A high-fiber diet promotes regular bowel movements and helps prevent constipation.
C. Regular exercise, such as walking, can stimulate bowel activity and improve overall health.
D. Well-cooked fruits and vegetables are beneficial, but the emphasis should be on increasing fiber intake.
E. Increasing consumption of eggs, meat, and dairy may not address the constipation issue and might contribute to a low-fiber diet.
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