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

Warm the enema solution to room temperature.

Use sterile technique

Place the client into a right lateral position.

Lubricate the tubing with an oil-based lubricant.

Answer and Explanation

The Correct Answer is A

A. Warm the enema solution to prevent discomfort and potential injury from a cold solution.

B. Clean technique is used when administering enemas, not sterile technique.

C. The left lateral position is preferred for enema administration.

D. An oil-based lubricant is not recommended for enema tubing; a water-based lubricant is preferred.

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Correct Answer is D

Explanation

A. 5 tsp: 5 mL is equivalent to 1 teaspoon, not 5.

B. 0.5 tsp: 5 mL is larger than 0.5 tsp.

C. 2.5 tsp: 5 mL is equivalent to 1 teaspoon, not 2.5.

D. 1 tsp: 5 mL is equal to 1 teaspoon.

A. A nurse gives a client the choice to take a pain medication via intramuscular or oral route. B. A nurse provides nonpharmacological pain interventions to each client equally. C. A nurse fulfills a promise to a client that they will return with their pain medication. D. A nurse administers scheduled pain medication for a client who is having pain.

Correct Answer is D

Explanation

A. A nurse gives a client the choice to take a pain medication via intramuscular or oral route: This represents autonomy, not beneficence.

B. A nurse provides nonpharmacological pain interventions to each client equally: While providing equitable care is important, beneficence focuses on doing what is best for the client, not just providing equal interventions.

C. A nurse fulfills a promise to a client that they will return with their pain medication: This demonstrates fidelity, not beneficence.

D. A nurse administers scheduled pain medication for a client who is having pain: This is an example of beneficence, which involves acting in the best interest of the client to relieve suffering.

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

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