A nurse is preparing to administer a soap suds enema to a client who has constipation. As the nurse explains the procedure, the client states, 'The doctor didn't tell me I was supposed to receive an enema.' Which of the following nursing actions is appropriate at this time?

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Checking the client's medical record for the provider's prescription is appropriate to verify the doctor's order. 2. It ensures that the nurse follows the correct procedure as per the healthcare provider's instructions. 3. This action promotes patient safety by confirming the necessity of the enema and prevents errors in care delivery. Summary: - Option B does not address the need to confirm the doctor's order. - Option C does not provide concrete evidence of the doctor's prescription. - Option D is premature and does not verify the doctor's order.

Correct Answer: B

Rationale: The correct answer is B: Warm air goes out. This is because when windows are opened, warm air, being less dense, rises and escapes to the outside. This creates a flow of air where warm air exits the room first before cold air enters, as cold air is denser and tends to stay lower. Choice A is incorrect as cold air typically enters after warm air exits. Choices C and D are not applicable as they do not provide any relevant information related to the scenario.

Correct Answer: B

Rationale: The correct answer is B: Cannot sleep. Stress can lead to sleep disturbances due to increased levels of cortisol, a stress hormone, disrupting the sleep-wake cycle. Lack of quality sleep can exacerbate stress and impact overall well-being. Choice A, unable to concentrate, may also occur with stress, but it is not as directly related to the physical factors mentioned in the question. Choice C and D are likely incorrect since they are not related to the physical effects of stress mentioned in the question.

Correct Answer: B

Rationale: The correct answer is B. Starting the collection at 10 am will capture the urine for the next 24 hours accurately. Discarding the 10 am urine ensures that the collection starts with the first morning urine, which is essential for an accurate 24-hour urine test. Choice A would not provide a full 24-hour sample, leading to inaccurate results. Choice C and D are incomplete and do not provide a logical approach for a 24-hour urine collection.

Correct Answer: A

Rationale: The correct answer is A: liquid soap. Research shows that liquid soap is more hygienic as it is less likely to harbor bacteria compared to solid soap. Liquid soap also allows for easier dispensing and proper handwashing technique. Solid soap can accumulate germs on its surface and may not be as effective in cleaning hands thoroughly. Choice B is incorrect due to the hygiene concerns associated with solid soap. Choices C and D are not provided, hence cannot be considered as correct answers.