A nurse is preparing to administer an enema to a client. Which of the following actions should the nurse plan to take?
Warm the enema solution to room temperature.
Use sterile technique
Place the client into a right lateral position.
Lubricate the tubing with an oil-based lubricant.
The Correct Answer is A
A. Warm the enema solution to prevent discomfort and potential injury from a cold solution.
B. Clean technique is used when administering enemas, not sterile technique.
C. The left lateral position is preferred for enema administration.
D. An oil-based lubricant is not recommended for enema tubing; a water-based lubricant is preferred.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hyperventilation is a common physiological response to anxiety, caused by increased respiratory rate due to heightened stress.
B. Bradycardia is not typical in anxiety; tachycardia is more commonly observed.
C. Drowsiness is not characteristic of anxiety; increased alertness or hypervigilance is more likely.
D. Peripheral vasodilation does not occur in anxiety; instead, vasoconstriction may lead to symptoms like cold or clammy skin.
Correct Answer is D
Explanation
A. A nurse gives a client the choice to take a pain medication via intramuscular or oral route: This represents autonomy, not beneficence.
B. A nurse provides nonpharmacological pain interventions to each client equally: While providing equitable care is important, beneficence focuses on doing what is best for the client, not just providing equal interventions.
C. A nurse fulfills a promise to a client that they will return with their pain medication: This demonstrates fidelity, not beneficence.
D. A nurse administers scheduled pain medication for a client who is having pain: This is an example of beneficence, which involves acting in the best interest of the client to relieve suffering.
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