A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for insertion of the suppository?

Supine

Sim's position

Lying on the right side

Prone position

Answer and Explanation

The Correct Answer is B

Sim’s position places the lower gastrointestinal tract in the anatomical position allowing for the client's comfort as well as retention of the suppository once inserted. is the most appropriate position for the insertion of a rectal suppository. The client lies on the left lateral side with the lower arm positioned behind the body, and the upper thigh flexed.

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Correct Answer is C

Explanation

Prednisone is a corticosteroid used in the management of inflammatory disorders like gouty arthritis, rheumatoid arthritis and connective tissue disorders. Prednisone, like other corticosteroids have a counter regulatory effect in glucose metabolism and increases insulin resistance in the peripheral tissues leading to hyperglycemia
A- Cimetidine is a histamine receptor antagonist used in management of gastric ulcers. It has no effect of glucose tolerance.
B. Dextromethorphan is a cough suppressant use in upper respiratory infections and has no effect on glucose tolerance.
D. Atorvastatin is a lipid lowering agent used to reduce the risk of cardiovascular event such as myocardial infarction and stroke. It has no effect on glucose

A. Document that the client experienced an anaphylactic reaction to the medication. B. Decrease the infusion rate on the IV. C. Apply cold compresses to the neck area. D. Change the IV infusion site.

Correct Answer is B

Explanation

A. The symptoms described (flushing and tachycardia) are not indicative of an anaphylactic reaction, which typically includes symptoms like difficulty breathing, hives, or swelling. Documenting it as an anaphylactic reaction would be misleading and could lead to inappropriate management.
B. Slowing the infusion rate can help mitigate the symptoms of Red Man Syndrome, which is often related to the rate of vancomycin administration. The recommended infusion rate for vancomycin is generally over at least 60 minutes, and reducing the rate can help alleviate symptoms.
C. Applying cold compresses should help with pain but as important like documentation.
D. The infusion should be continued and not used again for the client.

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A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for insertion of the suppository?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize Which of the following medications can cause glucose intolerance?

Correct Answer is C

Explanation

A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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