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Which position is the patient placed in for the administration of an enema? Sims
When giving an enema, you should insert the tube 7-10 cm (3-4 inches). True or False?
True
When changing the colostomy appliance, cut the opening in the skin barrier no more than ____
larger than the stoma. 1/8 inch
The best time to change a pouching system is in the morning or 2 to 4 hours after meals. True or
False True
An unlicensed assistive personnel (UAP) reports to the nurse that a client being fed experienced
coughing and choking when swallowing. The client states, "It feels like the food is stuck in my
throat." What does the nurse suspect is happening with this client? The client is having
dysphagia.
,While undergoing a soapsuds enema, the client complains of mild abdominal cramping. The
nurse should: lower the bag
The client has an indwelling catheter. The nurse should obtain a sterile urine specimen by:
syringe to withdraw from cath port
limiting fluids has what effect on urine? raises specific gravity
The nurse is alert to the possibility that for 24 to 48 hours after the postoperative procedure,
clients may experience the following as a result of the anesthetic used during the surgery:
paralytic ilyus
before fecal occult test eat bread
diagnosis of Alteration in urinary elimination, retention. On assessment, the nurse anticipates that
this client will exhibit: a feeling of pressure and voiding of small amounts.
diarrhea patients should consume lean meats
, A colonoscopy is ordered and the patient has questions about the examination. Before the
colonoscopy, the nurse teaches the patient that: light sedation is normally used
In an assessment of a client with overflow incontinence, the nurse expects to find that the client
has: constant dribbling of urine
A nurse is monitoring a client's fluid intake. For breakfast, the client consumed 8 oz of milk, 10
oz of water, 4 oz of flavored gelatin, 1 scrambled egg, 1 crisp piece of bacon, and 2 biscuits with
jelly. The nurse should record the fluid intake as: 660 mLs
24 hour urine needs to be restarted in the event that: client voids in the toilet
Which interventions prevent or minimize the risk factors in clients at risk for spiration?
Feeding the patient small bites.
Keeping suction equipment nearby.
Positioning the client upright at 90 degrees.
Providing liquids with a thickening agent.