RN ATI Fundamentals of Nursing | Nurselytic

Questions 67

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RN ATI Fundamentals of Nursing Questions

Extract:


Question 1 of 5

A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: The correct answer is A: Hold the container of solution 30 cm (12 in) above the anus. This is the correct action because it allows for a gentle, gravity-driven flow of solution into the rectum for effective cleansing. Holding the container at this height ensures a steady flow without causing discomfort or pressure.


Choice B is incorrect because lowering the container below the anus may cause rapid instillation of the solution, leading to discomfort and potential injury.
Choice C is incorrect as the solution needs to flow downwards into the rectum, not be held level with the hip.
Choice D is incorrect as maintaining client comfort is important, but in this case, the correct positioning of the container is essential for the enema to be effective.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

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Question 5 of 5

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Rationale:

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