During an enema the resident should be in the ______ position.

Correct Answer: C

Rationale: The correct answer is C: Sims position. During an enema, the Sims position is preferred because it helps to facilitate the flow of the enema solution and allows for easier insertion of the enema tip. In the Sims position, the resident lies on their left side with the right knee flexed towards the chest. This position helps to promote the movement of the solution towards the rectum and reduces the risk of discomfort or injury. Incorrect choices: A: Lateral position is a general term and does not specify the optimal positioning for an enema. B: Supine position (lying flat on the back) is not ideal for administering an enema as it can make it harder for the solution to flow properly. D: Fowler's position (sitting up at a 45-90 degree angle) is not suitable for enema administration as it may not allow for proper flow and insertion of the enema tip.

Correct Answer: C

Rationale: The correct answer is C because nonsterile dressings are suitable for dry wounds with low infection risk, as they do not introduce additional bacteria. Open wounds (A) and draining wounds (B) require sterile dressings to prevent infection. New wounds (D) may benefit from sterile dressings to minimize the risk of introducing bacteria during the initial healing phase.

Correct Answer: A

Rationale: The correct answer is A: Skeletal muscle. Skeletal muscles are under conscious control, allowing for voluntary movement. This type of muscle is attached to bones by tendons and helps with activities like walking and lifting. Smooth (B), pulmonary (C), and cardiac (D) muscles are involuntary muscles controlled by the autonomic nervous system. Smooth muscles are found in organs like the digestive tract, pulmonary muscles are associated with the lungs, and cardiac muscles make up the heart. They function automatically without conscious effort.

Correct Answer: C

Rationale: The correct answer is C: Preventing falls. This is because individuals with multiple sclerosis often experience mobility issues and are at a higher risk of falling. By implementing fall prevention strategies, such as removing trip hazards and providing assistive devices, caregivers can help ensure the safety of the resident. Rushing residents through tasks (A) is not recommended as it can increase stress and anxiety, which may exacerbate symptoms of multiple sclerosis. Administering medications (B) is important but not specific to caring for someone with multiple sclerosis. Encouraging the resident to speak faster (D) is not relevant to the care of individuals with multiple sclerosis and may even be detrimental to effective communication.

Correct Answer: D

Rationale: The correct answer is D: Maintains blood sugar levels. The endocrine system produces hormones that regulate blood sugar levels. Insulin and glucagon help control glucose levels in the blood. A: Regulating body temperature is primarily controlled by the nervous system and thermoregulatory mechanisms. B: Giving the body shape and structure is mostly the role of the skeletal system. C: Sensing and interpreting messages from the environment is mainly the function of the nervous system.