A college student arrives at the clinic for a physical examination and asks the practical nurse (PN) how he should perform testicular self-examination (TSE). Which information should the PN provide?

A. Convey that their loved one's condition is very critical, and there has been no response in the last 24 hours: While accurate, providing detailed prognostic information or implying imminent death is beyond the PN’s scope and may cause unnecessary distress.

B. Relay that the nurses have not been able to arouse the client and the healthcare provider knows the outcome: Sharing partial or speculative information can lead to confusion and anxiety. The PN should avoid giving definitive prognoses.

C. Explain the client's extremely critical condition and ask if funeral arrangements have been made: Discussing end-of-life arrangements is inappropriate for the PN to initiate and may be distressing and premature without guidance from the healthcare team.

D. Refer the family to the charge nurse to discuss the client's condition in a family conference: The charge nurse or healthcare provider is responsible for providing detailed updates and supporting the family. Referring the family ensures accurate information is given in a controlled, supportive setting, aligning with professional scope and ethical practice.

A. Encourage client to retain solution for at least 5 minutes: Retaining the enema allows the solution to soften stool and stimulate peristalsis effectively, promoting bowel evacuation. Short retention reduces effectiveness.

B. Position client in left lateral recumbent position to expose buttocks: The left lateral position (Sims’ position) aligns the rectum and sigmoid colon to facilitate easier insertion of the enema tip and optimal flow of solution.

C. Insert lubricated tip of tubing 3 to 4 inches into the rectum: Proper insertion depth ensures the solution reaches the rectum without causing trauma. Lubrication minimizes discomfort and risk of injury to the rectal mucosa.

D. Clamp enema administration tubing after filling enema bag: Clamping should occur before attaching the bag to prevent uncontrolled flow. Waiting until after filling is unsafe and can result in premature solution release.

E. Chill the enema solution to help reduce the client's fever: Enema solutions should generally be at room or body temperature. Cold solutions may cause cramping, discomfort, or reflex contraction of the rectum, and do not reduce systemic fever.