NCLEX RN Exam Prep - Nurselytic

Questions 74

NCLEX-RN

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NCLEX RN Exam Prep Questions

Extract:


Question 1 of 5

A client is preparing to administer an enema to a 64-year-old client. Which of the following actions of the nurse is most appropriate?

Correct Answer: B

Rationale: When administering an enema to a client, the nurse should place the client in the Sims' position for easy access. The correct action is to apply lubricating jelly to the tip of the catheter before insertion to facilitate a smoother procedure. It is essential to instill a maximum of 750 to 1000 cc of fluid for an adult client, not just 30cc. Following administration, the nurse should ask the client to hold the solution for at least 5 minutes to allow for the desired effect of the enema.
Therefore, choice B is the most appropriate action, as choices A, C, and D are incorrect due to inaccuracies in positioning, enema volume, and retention time.

Question 2 of 5

Correct Answer:

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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