nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort?

Lower the height of the solution container.

Encourage the client to bear down.

Allow the client to expel some fluid before continuing.

Stop the enema and document that the client did not tolerate the procedure.

Answer and Explanation

The Correct Answer is A

A. Lowering the height of the solution container will slow the rate of instillation, reducing the intensity of the cramps and allowing the client to tolerate the enema better.
B. Encouraging the client to bear down may increase discomfort and is not recommended during the administration of an enema.
C. Allowing the client to expel some fluid before continuing might provide temporary relief but does not address the rate of fluid instillation, which is the primary cause of cramping.
D. Stopping the enema and documenting the intolerance is not the first step; adjusting the rate of administration should be tried first to help the client tolerate the procedure.

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Correct Answer is A

Explanation

A. Regular insulin is used in the treatment of diabetic ketoacidosis (DKA) due to its rapid onset and ability to lower blood glucose levels quickly. It is administered intravenously for immediate effect.
B. NPH insulin is an intermediate-acting insulin and is not appropriate for the rapid correction needed in DKA.
C. Insulin detemir is a long-acting insulin used for basal insulin control, not suitable for acute DKA treatment.
D. Insulin glargine is a long-acting insulin, which would not be used in the acute setting of DKA where rapid control of blood glucose is required.

A. New pajama. B. Well-done meat. C. Beautiful potted plant. D. A new iPad from the online store

Correct Answer is C

Explanation

A. New pajamas are generally not a risk for infection and do not pose a significant threat to an immunosuppressed patient.
B. Well-done meat is safe for consumption and does not pose an infection risk in this context.
C. A potted plant can harbor soil-borne bacteria and fungi, posing a risk of infection to immunosuppressed patients and should be avoided.
D. A new iPad from the online store is unlikely to introduce infection and does not pose a significant risk.

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nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse caring for a client with acute leukemia who is immunosuppressed is diligent about protecting the patient from infection. When visitors come in, in addition to having them put on neutropenic isolation, the registered nurse prohibits them from bringing a:

Correct Answer is C

Explanation

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