A nurse is preparing to administer bisacodyl suppository to a client. Which of the following actions should the nurse take? (Select all that apply.)
Insert the suppository just beyond the internal sphincter
Lubricate dominant index finger
Use a rectal applicator for insertion
Position the client supine with knees bent
Don sterile gloves
Correct Answer : A,B,E
A. Ensures retention of the suppository
B. For smooth insertion
C. Can cause trauma and should be avoided
D. Does not follow anatomy of the distal gut-Sim’s position preferred
E. For infection control
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale-blowing the nose clears any mucus plugs allowing for optimal absorption
A. Lying on the side post application may lead to spillage of the applied drop
B. Holding the dropper too far leads to spillage with too little medication getting to the desired area
D. Tilting the head too long may lead to unnecessary irritation
Correct Answer is A
Explanation
A. Methotrexate can lead to decreased DNA synthesis in the bone marrow leading to low platelets count.
B. It should be anticipated but should be addressed
C. Electric brush does not address the underlying issue
D. low platelets could lead to life-threatening bleeding and hence should be addressed immediately
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