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Exam (elaborations)

NURS 209 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIE

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NURS 209 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIE A client who has poor sphincter control might not be able to retain the enema solution at all. Repositioning the client over the bedpan in the dorsal recumbent position after insertion of the rectal tube will help contain the fluid that is likely to be expelled. Administer the enema while the client sits on the toilet. The angle of insertion of the rectal tube with the client in this position could result in abrasion of the rectal wall. Administer an antidiarrheal medication 3 hr prior to the enema. Instill 200 mL of fluid over an hour at 15-min intervals. This would unnecessarily prolong the procedure and would have little or no effect on sphincter control. 2. A nurse is preparing an adult client for an enema. The nurse should assist the client into which of the following positions Correct Answer Prone The prone position does not allow adequate visualization of the anus for safely inserting the rectal tube. Dorsal recumbent This position is used for infants and small children during enema administration, but it is not optimal for adults. Right lateral with both knees at chest This position is difficult for clients to maintain, and it is unnecessarily extreme for enema administration. Left lateral with the right leg flexed This position makes it easier for the enema solution to flow by gravity into the sigmoid and descending colon. The flexed leg promotes exposure of the anus for insertion of the rectal tube. 3. A nurse is administering an enema medicated with sodium polystyrene sulfonate to an adult client who has hyperkalemia. To which of the following lengths should the nurse insert the rectal tube Correct Answer 2.5 cm to 3.75 cm (1 to 1.5 in) 5 cm to 7.5 cm (2 to 3 in)

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