ATI RN
ATI Nurs 105 Fundamentals Final Exam 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 distance allows for a slow and controlled flow of the enema solution into the rectum, minimizing discomfort and preventing rapid distention. Holding the container lower can cause the solution to flow too quickly, potentially causing cramping or injury.
Choice B involves unnecessary movement of the container, which can disrupt the flow and cause discomfort.
Choice C does not provide specific guidance on the proper height for optimal administration.
Choice D, holding the container level with the client's upper hip, is too low and could lead to a rapid flow of solution.
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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