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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Postmenopausal bleeding is a common symptom of endometrial cancer and is often one of the first signs reported by clients. It is important for the nurse to identify this symptom as it is a key indicator of potential malignancy in the endometrial lining.
B. Extreme abdominal pain with intercourse is more commonly associated with pelvic inflammatory disease or other gynecological issues rather than endometrial cancer specifically.
C. Green, malodorous vaginal discharge is more indicative of an infection, such as bacterial vaginosis or trichomoniasis, rather than endometrial cancer.
D. Unilateral swelling on the posterior of the vulva may indicate issues such as a Bartholin's gland cyst or other localized conditions, but it is not a typical manifestation of endometrial cancer.
Correct Answer is ["1.5"]
Explanation
- Identify the prescribed dose: The prescribed dose is 150 mg.
- Identify the strength available: The strength available is 100 mg per tablet.
- Calculate the number of tablets: Divide the prescribed dose by the strength available per tablet.
= 150/100= 1.5 tablets
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.