ATI RN
ATI Nur 112 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an enema to a client. Which of the following actions should the nurse plan to take? A. Warm the enema solution to room temperature. B. Use sterile technique C. Place the client into a right lateral position. D. Lubricate the tubing with an oil-based lubricant. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale:
Correct
Answer: A. Warm the enema solution to room temperature.
Rationale: Warming the enema solution to room temperature helps prevent discomfort and cramping for the client. Cold solutions can cause cramping and shock the body. It is essential to make the procedure as comfortable as possible for the client.
Summary of Incorrect
Choices:
B. Using sterile technique is not necessary for enema administration unless the client has a compromised immune system or there is a specific reason to do so. Standard precautions are usually sufficient.
C. Placing the client into a right lateral position is not a universal requirement for administering an enema. The position may vary based on the specific type of enema being given and the client's condition.
D. Lubricating the tubing with an oil-based lubricant is not recommended as it can cause damage to the rectal mucosa. Water-soluble lubricants are preferred for enema administration.
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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