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 B

Explanation

A. Diluting phenytoin with sterile water before injecting is not recommended, as phenytoin is incompatible with most used diluents. Diluting it can lead to precipitation and potentially cause adverse effects such as tissue irritation and phlebitis.
B. Administering the medication over 1 min is recommended. Phenytoin should be administered at a rate of 50mg/min.
C. Following the IV injection with sterile water is unnecessary and not indicated for administering phenytoin.
D.Phenytoin precipitates out of solution when mixed with certain diluents or when administered too quickly. Crystallized phenytoin can cause local irritation, tissue damage, and potentially more serious adverse effects. Therefore, it should not be administered at all.

A. Document that the client refuses the medications. B. Ask the client why he is refusing to take the medications. C. Explain the purgH3Se for the medications. D. Tell the client the physician wants him to take the medications.

Correct Answer is B

Explanation

The nurse should identify the concerns that the client has regarding to the medications prescribed. This allows the nurse and the provider to demystify any incorrect information the client might have or address any other underlying issues.

A. Just documenting does not address the client’s issues and shows lack of empathy

C. Explaining is important but the reason for refusal could be something else

D. The nurse should not use any reason to try and force the client to take the medications

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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

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