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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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Gently rolling the vial mixes the insulin suspension without introducing air bubbles, ensuring consistent dosing.

B. Insulin should be injected into subcutaneous tissue and positioned at least 2 inches (5 cm) away from the navel to prevent complications.

C. Aspiration is not necessary for subcutaneous injections, including insulin, as it does not improve safety and may increase discomfort.

D. Insulin is designed for subcutaneous administration, as intramuscular injections can alter absorption rates and lead to unpredictable glucose control.

A. Conference area B. Client's bedside C. Nurse's lounge D. Outside client's room

Correct Answer is B

Explanation

A. The conference area is less conducive to engaging with the client.

B. Providing handoff report at the bedside ensures that the oncoming nurse has all the relevant information while engaging with the patient.

C. The nurse's lounge is not an appropriate location for patient handoff.

D. Outside the client’s room lacks the direct engagement needed for handoff.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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