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 is crucial to confirm the provider's prescription. 2. This action ensures patient safety and adherence to the provider's orders. 3. It is essential to verify the order before proceeding to avoid potential harm or legal issues. Incorrect Choices: B: This choice assumes the provider prescribed the procedure without confirmation, risking error. C: Assuring the client without verifying the order could lead to unnecessary intervention. D: Informing the charge nurse without verifying the order may result in miscommunication and potential errors.

Correct Answer: A

Rationale: The correct answer is A because sperm released on ejaculation typically numbers around 200-300 million, not 500 million. This high number is crucial for increasing the chances of fertilization. Option B is incorrect as eggs are not released during menstruation; rather, they are released during ovulation, with only one egg being released per cycle. Options C and D are not provided, but they are automatically incorrect as the correct answer is A.

Correct Answer: B

Rationale: The correct answer is B, Knee-chest position. This position helps to release gas by allowing the gas to move upward and out more easily. In the knee-chest position, the body is bent forward at the waist and the hips are flexed, creating a straight path for gas to escape. This position also reduces any pressure on the abdomen, facilitating the expulsion of flatulence. Prone position (choice A) may not be as effective as it does not help in releasing gas upward. Choices C and D are not provided, but they would be incorrect as they do not offer a suitable position for expelling flatulence effectively.

Correct Answer: B

Rationale: In the context of a child experiencing fever, providing comfort is essential for their well-being. The correct answer, option B) Tepid sponge bath, is the most appropriate choice. A tepid sponge bath helps in reducing a child's body temperature gradually, offering relief from discomfort associated with fever. It is a safe and effective method recommended by healthcare professionals to manage fever in children. Option A) Syrup is not the best choice for providing comfort to a child with fever. While fever-reducing medications may be necessary in some cases, the primary focus should be on physical cooling methods like the tepid sponge bath to address the discomfort caused by the fever. Educationally, it is crucial for caregivers and healthcare providers to understand the importance of non-pharmacological interventions in managing fever in children. Teaching parents and caregivers about the proper techniques for administering a tepid sponge bath can empower them to provide immediate comfort to a child with fever before seeking medical attention. This knowledge can help prevent unnecessary medication use and promote safe and effective fever management practices at home.

Correct Answer: A

Rationale: The correct answer is A: Touching the patient. Direct contact refers to physical interaction with the patient, such as touching them directly. This direct physical connection can transmit pathogens or germs from the patient to the person touching them. It is important to minimize direct contact to prevent the spread of infections. Summary: Choice B, touching the patient's articles, does not involve direct physical contact with the patient themselves, so it is not considered direct contact in the context of infection control. Choices C and D are not provided, but they would be incorrect as they do not pertain to the definition of direct contact in the context of healthcare.