A nurse is preparing to administer a tap water enema to a client. Which of the following actions should the nurse take?

Don sterile gloves prior to the procedure.

Lubricate 1 inch of the tip of the rectal tube prior to insertion.

Place the client into a left Sims' position.

Raise the enema bag if the client experiences cramping.

Answer and Explanation

The Correct Answer is C

A. Sterile gloves are not necessary for a tap water enema; clean, non-sterile gloves are sufficient.

B.   Lubricating the tip of the rectal tube is appropriate to ease insertion and enhance client comfort.
C.   Placing the client into a left Sims' position facilitates optimal administration of a tap water enema.
D.   Lowering, not raising, the enema bag will allow for a slower flow and may reduce cramping.

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Correct Answer is A

Explanation

A. Eating a light carbohydrate snack before bedtime can promote sleep by providing a small increase in insulin, which facilitates the entry of tryptophan into the brain, promoting the production of serotonin and melatonin.

B. Taking a 30-minute daily nap, especially close to bedtime, may interfere with nighttime sleep.
C. Exercising 1 hour before bedtime can be stimulating and may disrupt sleep patterns.
D. Drinking a cup of hot cocoa before bedtime may not be recommended as it contains caffeine, which can interfere with sleep.

A. "Put the cap on the syringe before placing it in a trash can." B. Place the syringe in a metal coffee can with a lid. C. "Use a resealable bag when disposing of the syringe." D. "Break the needle off the syringe before disposal."

Correct Answer is A

Explanation

A. Putting the cap on the syringe before placing it in a trash can helps ensure safe disposal and reduces the risk of needlestick injuries.
B. Placing the syringe in a metal coffee can with a lid is not a recommended method for home disposal.
C. Using a resealable bag may not provide sufficient protection, and it may pose risks to individuals handling the trash.
D. Breaking the needle off the syringe is not a safe method for disposal and increases the risk of needlestick injuries.

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