A client receiving a cleansing enema reports mild cramping. After a few minutes, he asks the nurse to stop the enema and allow him to go to the bathroom. Which of the following actions should the nurse take?
Pause the enema and give the client pain medication.
Discontinue the enema.
Continue the enema and reassure the client.
Lower the height of the solution bag.
The Correct Answer is D
A. Pause the enema and give the client pain medication. Pain medication is not appropriate for mild cramping caused by an enema.
B. Discontinue the enema. Stopping the enema entirely may not be necessary and could prevent the procedure from being effective.
C. Continue the enema and reassure the client. Continuing the enema without adjustment may cause increased discomfort.
D. Lower the height of the solution bag. Lowering the height of the enema bag can reduce the flow rate, easing cramping and discomfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cheddar cheese: While some cheeses contain potassium, cheddar cheese is not a particularly high source compared to bananas.
B. Cabbage: Cabbage contains some potassium, but again, bananas are a richer source.
C. White rice: White rice is generally low in potassium.
D. Bananas: They are a well-known source of potassium. Including bananas in the diet can help replenish potassium lost due to furosemide.
Correct Answer is C
Explanation
A. Lemon sherbet: Lemon sherbet is not considered a clear liquid; it is more of a semi-solid. This contains dairy (milk or milk derivatives) and might have pulp, disqualifying it from a clear liquid diet.
B. Carrot juice: Carrot juice is not a clear liquid; it contains pulp and is opaque.
C. Grape juice: Grape juice is a clear liquid and is appropriate for a clear liquid diet.
D. Skim milk: While skim milk is a good source of protein and calcium, it's a dairy product and not considered a clear liquid.
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