ATI RN
ATI Nur 112 Fundamentals of Nursing Exam Questions
Extract:
Question 1 of 5
A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort?
Correct Answer: B
Rationale: The correct answer is B: Lower the height of the solution container. Lowering the height of the solution container will slow down the flow rate of the enema solution, which can help alleviate the abdominal cramps the client is experiencing. This action allows for a more gradual administration of the enema, reducing the discomfort caused by rapid distension of the bowel.
A: Stopping the enema and documenting that the client did not tolerate the procedure does not address the client's discomfort or provide immediate relief.
C: Encouraging the client to bear down may worsen the cramps and should be avoided.
D: Allowing the client to expel some fluid before continuing may not address the root cause of the cramps and may not provide immediate relief.
In summary, lowering the height of the solution container is the best option to relieve the client's discomfort during the administration of the tap water enema.
Question 2 of 5
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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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