A nurse is preparing to administer a soapsuds enema to an adult client. Which of the following actions should the nurse take?

Insert the tubing about 15 cm (6 in) into the anus.

Hang the enema container 61 cm (24 in) above the anus.

Assist the client to the left Sims' position.

Put on sterile gloves.

Answer and Explanation

The Correct Answer is C

The left Sims' position (also known as the left lateral position) is the appropriate position for administering a soapsuds enema. This position allows for better visualization and access to the rectum and facilitates the flow of the enema solution.

The other options mentioned are incorrect:

Inserting the tubing about 15 cm (6 in) into the anus: The specific depth of insertion may vary depending on the client, but the general guideline is to insert the tubing about 3 to 4 inches into the rectum for an adult. 15 cm (6 in) would be excessively deep and could cause discomfort or injury.

Hanging the enema container 61 cm (24 in) above the anus: The height at which the enema container is hung should be no more than 18-24 inches (45-60 cm) above the anus. Hanging it too high can cause excessive pressure and discomfort during the administration.

Putting on sterile gloves: Sterile gloves are not typically required for the administration of a soapsuds enema. Clean gloves or non-sterile gloves are generally sufficient for this procedure.

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Correct Answer is A

Explanation

Omeprazole is a proton pump inhibitor (PPI) commonly prescribed to reduce stomach acid production. It is frequently used to treat conditions such as gastroesophageal reflux disease (GERD) and peptic ulcer disease. Acid indigestion, characterized by a burning sensation in the chest or upper abdomen, is a common symptom of excessive stomach acid.

While omeprazole can indirectly alleviate certain symptoms associated with excessive stomach acid, it is not typically used to directly treat or relieve symptoms such as nausea, diarrhea, or headaches. Other medications or interventions may be more suitable for managing these specific symptoms.

Correct Answer is ["2.5"]

Explanation

To determine how many milliliters (ml) should be administered per dose, we need to calculate the dose volume using the available concentration of famotidine.

Given:

Famotidine concentration: 40 mg/5 ml

Dose: 20 mg

We can set up a proportion to solve for the volume:

40 mg / 5 ml = 20 mg / x ml

Cross-multiplying the proportion, we get:

40 mg * x ml = 20 mg * 5 ml

Simplifying, we have:

40x = 100

Dividing both sides by 40, we find:

x = 100 / 40

x ≈ 2.5 ml

Therefore, the nurse should administer approximately 2.5 ml of famotidine per dose.

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A nurse is preparing to administer a soapsuds enema to an adult client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has been taking omeprazole for the past 4 weeks. The nurse determines that the medication is effective when the client reports relief from which of the following symptoms?

Correct Answer is A

Explanation

A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD. Available is famotidine 40 mg/5 ml. How many ml. should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2.5"]

Explanation

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