A nurse is preparing to administer a soap suds enema to a client who has constipation. As the nurse explains the procedure, the client states, "The doctor didn't tell me I was supposed to receive an enema." Which of the following nursing actions is appropriate at this time?

Check the client's medical record for the provider's prescription.

Inform the charge nurse that the client refused the enema.

Explain to the client that the provider prescribed the procedure.

Assure the client that enemas are commonly prescribed for constipation.

Answer and Explanation

The Correct Answer is A

Rationale:

A. Check the client's medical record for the provider's prescription is the appropriate action to confirm whether the enema was indeed ordered and to ensure that the client’s concerns are addressed.

B. Inform the charge nurse that the client refused the enema might be premature without first verifying the order and addressing the client's concerns.

C. Explain to the client that the provider prescribed the procedure is not appropriate if you have not confirmed the order. It may be premature if the order is not documented.

D. Assure the client that enemas are commonly prescribed for constipation does not address the client’s specific concern about whether the enema was actually ordered.

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Correct Answer is B

Explanation

Rationale:

A. Identifying changes within the family unit can be important but is not the immediate priority for medical stabilization.

B. Gaining weight is a critical goal for clients with anorexia nervosa to address their physical health and nutritional status.

C. Making positive statements about body image is helpful but secondary to the goal of weight gain.

D. Feeling in control of behavior is important for long-term recovery but is not the immediate priority compared to physical health.

A. Discovery phase B. Decision phase C. Trial phase D. Complaint phase

Correct Answer is A

Explanation

Rationale:

A. Discovery phase is when depositions are typically taken, as this phase involves gathering evidence and information from parties involved.

B. Decision phase occurs after the trial to determine the verdict.

C. Trial phase involves presenting evidence and arguments, but depositions occur earlier during discovery.

D. Complaint phase involves filing the lawsuit and does not include depositions.

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A nurse is preparing to administer a soap suds enema to a client who has constipation. As the nurse explains the procedure, the client states, "The doctor didn't tell me I was supposed to receive an enema." Which of the following nursing actions is appropriate at this time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?

Correct Answer is B

Explanation

A nurse manager has received information from the facility's risk management department that a former client is pursuing a lawsuit. The nurse manager should anticipate a deposition will be required during which phase of the legal process?

Correct Answer is A

Explanation

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A charge nurse hears a provider speaking to a staff nurse in anger concerning incorrect supplies that are available to perform a procedure. Which of the following statements by the charge nurse is appropriate?

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