The practical nurse (PN) is administering a saline enema to a client who was admitted because of a fever of unknown origin and is now constipated. Which techniques should the PN use? (Select all that apply.)

Insert lubricated tip of tubing 3 to 4 inches into the rectum.

Position client in left lateral recumbent position to expose buttocks.

Chill the enema solution to help reduce the client's fever.

Encourage client to retain solution for at least 5 minutes.

Clamping the enema administration tubing

Answer and Explanation

Correct Answer : A,B,D,E

A.   Inserting the lubricated tip of the tubing 3 to 4 inches into the rectum allows for the proper administration of the enema.
B.   Positioning the client in the left lateral recumbent position helps expose the rectum for the enema administration.
C.   Chilling the enema solution isn't recommended as it might cause discomfort or shock to the client.
D.   Encouraging the client to retain the solution for at least 5 minutes helps ensure effectiveness.

E. Clamping the enema administration tubing after filling the enema bag helps control the flow during the procedure.

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Correct Answer is A

Explanation

A. Determine the means by which residents will be evacuated. - This task requires critical decision-making and understanding of evacuation protocols, which is within the scope of the practical nurse's responsibilities.
B. Close all fire doors and the doors to all the residents' rooms. - While important for containment, this can be executed by UAP following established protocols.
C. Assist any wandering residents back to their rooms. - UAP can assist in guiding residents back to their rooms safely.
D. Offer comfort and reassurance to distraught residents. - Both PN and UAP can offer comfort and reassurance to residents during such situations.

A. A Observe how UAP obtains temperatures. B. B Return the thermometer for recalibration. C. C Show UAP how to chart temperatures, D. D Demonstrate how to use the equipment.

Correct Answer is A

Explanation

A. Observing the method of temperature measurement by the UAP helps identify any incorrect technique or error in obtaining readings.
B. Returning the thermometer for recalibration assumes the issue is with the equipment, which might not be the case.
C. Showing the UAP how to chart temperatures assumes the problem is with documentation, not measurement.
D. Demonstrating how to use the equipment might not address the specific error observed in temperature readings.

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The practical nurse (PN) is administering a saline enema to a client who was admitted because of a fever of unknown origin and is now constipated. Which techniques should the PN use? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When a small fire breaks out in the kitchen of a long-term care facility, which task should be performed by the practical nurse (PN) rather than the unlicense assistive personnel (UAP)?

Correct Answer is A

Explanation

The practical nurse (PN) notices that one of the unlicensed assistive personnel (UAP) working in the long term care facility consistently records subnormal temperatures when using a tympanic thermometer. Which action should the PN take first?

Correct Answer is A

Explanation

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When a small fire breaks out in the kitchen of a long-term care facility, which task should be performed by the practical nurse (PN) rather than the unlicensed assistive personnel (UAP)?