A nurse is preparing to administer a bisacodyl suppository to a client. Which of the following actions should the nurse take? (Select all that apply)

Don sterile gloves.

Position the client supine with knees bent.

Use a rectal applicator for insertion.

Insert the suppository just beyond the internal sphincter.

Lubricate the index finger.

Answer and Explanation

Correct Answer : D,E

Choice A reason:

Don sterile gloves: While it is important to maintain cleanliness, sterile gloves are not necessary for administering a suppository. Clean, non-sterile gloves are sufficient to prevent infection and ensure hygiene.

Choice B reason:

Position the client supine with knees bent: The correct position for administering a suppository is the left lateral (Sims) position, not supine with knees bent. The left lateral position allows for easier access to the rectum and helps the suppository stay in place.

Choice C reason:

Use a rectal applicator for insertion: Suppositories are typically inserted using a gloved finger, not a rectal applicator. The gloved finger allows for better control and ensures the suppository is placed correctly.

Choice D reason:

Insert the suppository just beyond the internal sphincter: This is correct. The suppository should be inserted past the internal sphincter to ensure it stays in place and can dissolve properly. This placement helps the medication to be absorbed effectively.

Choice E reason:

Lubricate the index finger: Lubricating the index finger is essential to make the insertion process smoother and more comfortable for the client. It helps prevent trauma to the rectal mucosa and ensures the suppository is inserted easily.

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Correct Answer is B

Explanation

Choice A reason: Relapse is an Indication that You Are Not Taking Your Medications Properly

This statement is not entirely accurate. While non-adherence to medication can be a factor in relapse, it is not the only cause. Schizophrenia is a complex condition, and relapses can occur even when medications are taken as prescribed. Stress, changes in routine, and other factors can also contribute to a relapse.

Choice B reason: You Should Keep Your Provider’s and Therapist’s Number with You

This statement indicates an understanding of the importance of having immediate access to professional help. Keeping contact information for healthcare providers and therapists readily available ensures that the client can quickly reach out for support if they notice early signs of relapse. This proactive approach can help manage symptoms before they escalate.

Choice C reason: Taking an Additional Dose of Medication is Appropriate as Soon as Signs of Relapse Appear

This statement is incorrect. Clients should not adjust their medication dosage without consulting their healthcare provider. Taking an additional dose can lead to adverse effects and may not address the underlying issue. It is crucial to follow the prescribed treatment plan and seek professional advice if symptoms worsen.

Choice D reason: You Should Be Aware that Excessive Sleeping is an Early Sign of Relapse

Excessive sleeping is not typically an early sign of schizophrenia relapse. Common early warning signs include insomnia, social withdrawal, difficulty concentrating, and increased paranoia. While changes in sleep patterns can be a symptom, it is more important to recognize the specific signs that have previously indicated a relapse for the individual.

Correct Answer is ["5"]

Explanation

Step 1: Determine the total volume to be infused. = 1 liter (L)

Step 2: Convert the total volume from liters to milliliters (mL). Calculation: 1 L × 1000 mL/L = 1000 mL

Step 3: Determine the infusion rate. = 200 mL/hr

Step 4: Calculate the infusion time in hours. Calculation: 1000 mL ÷ 200 mL/hr = 5 hours

Step 5: Round the answer to the nearest whole number if necessary. = 5 hours (no rounding needed)

The nurse should expect the IV pump to infuse over 5 hours.

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A nurse is preparing to administer a bisacodyl suppository to a client. Which of the following actions should the nurse take? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

A nurse is assisting a client who has schizophrenia prepare a relapse plan. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

Correct Answer is ["5"]

Explanation

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