A nurse is preparing to administer a bisacodyl suppository to a client. Which of the following actions should the nurse take? (Select all that apply)

Don sterile gloves.

Position the client supine with knees bent.

Use a rectal applicator for insertion.

Insert the suppository just beyond the internal sphincter.

Lubricate the index finger.

Answer and Explanation

Correct Answer : D,E

Choice A reason:

Don sterile gloves: While it is important to maintain cleanliness, sterile gloves are not necessary for administering a suppository. Clean, non-sterile gloves are sufficient to prevent infection and ensure hygiene.

Choice B reason:

Position the client supine with knees bent: The correct position for administering a suppository is the left lateral (Sims) position, not supine with knees bent. The left lateral position allows for easier access to the rectum and helps the suppository stay in place.

Choice C reason:

Use a rectal applicator for insertion: Suppositories are typically inserted using a gloved finger, not a rectal applicator. The gloved finger allows for better control and ensures the suppository is placed correctly.

Choice D reason:

Insert the suppository just beyond the internal sphincter: This is correct. The suppository should be inserted past the internal sphincter to ensure it stays in place and can dissolve properly. This placement helps the medication to be absorbed effectively.

Choice E reason:

Lubricate the index finger: Lubricating the index finger is essential to make the insertion process smoother and more comfortable for the client. It helps prevent trauma to the rectal mucosa and ensures the suppository is inserted easily.

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Correct Answer is B

Explanation

Choice A reason:

Akathisia: Akathisia is characterized by a feeling of inner restlessness and an inability to stay still. It often manifests as constant movement, such as pacing or fidgeting. While akathisia is a common side effect of antipsychotic medications, it does not typically involve involuntary movements of the tongue and face.

Choice B reason:

Tardive dyskinesia: Tardive dyskinesia is a serious and often irreversible side effect of long-term antipsychotic use, including chlorpromazine. It is characterized by involuntary, repetitive movements, particularly of the face, tongue, and jaw. These movements can include lip smacking, tongue protrusion, and grimacing. This condition is a result of prolonged dopamine receptor blockade in the brain.

Choice C reason:

Dystonia: Dystonia involves sustained muscle contractions that cause twisting and repetitive movements or abnormal postures. It can affect any part of the body, including the neck, face, and limbs. While dystonia can be a side effect of antipsychotic medications, it typically presents as muscle spasms rather than the repetitive, involuntary movements seen in tardive dyskinesia.

A. Clean clothing. B. Personal identification. C. Three quarts of water per person. D. Matches. E. Prescription medications.

Correct Answer is ["A","B","D","E"]

Explanation

Choice A reason:

Clean clothing is necessary for maintaining hygiene and comfort in disaster situations. Limited access to laundry facilities makes having extra clothing essential for preventing infections and staying dry in extreme weather.

Choice B reason:

Personal identification is crucial during emergencies to access aid, medical services, and shelters. Important documents such as passports or insurance cards help verify identity and facilitate assistance.

Choice C reason:

Three quarts of water per person is not the recommended amount. The standard guideline advises one gallon of water per person per day to meet hydration and sanitation needs, ensuring sufficient supply in prolonged emergencies.

Choice D reason:

Matches are useful for starting fires needed for cooking, warmth, and signaling for help. Waterproof matches or lighters should be included to ensure functionality in wet conditions.

Choice E reason:

Prescription medications are vital for those with chronic health conditions. Having a sufficient supply ensures continuity of treatment, especially when pharmacies may be inaccessible during disasters.

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A nurse is preparing to administer a bisacodyl suppository to a client. Which of the following actions should the nurse take? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has schizophrenia and has been on long-term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and face. The nurse should suspect the client has developed which of the following adverse effects?

Correct Answer is B

Explanation

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Correct Answer is ["A","B","D","E"]

Explanation

Choice A reason:

Choice B reason:

Choice C reason:

Choice D reason:

Choice E reason:

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