NCLEX PN Test Bank - Nurselytic

Questions 70

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NCLEX PN Test Bank Questions

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Question 1 of 5

How far should the enema tube be inserted for a client to have a flatus-reducing enema?

Correct Answer: A

Rationale: The correct answer is to insert the enema tube 4 inches. Enema tubing must be passed beyond the internal sphincter, which is typically around 4 inches in an adult. Inserting the tube only 2 inches is not far enough to reach this point. On the other hand, inserting the tube 6 or 8 inches is too far and might cause trauma to the bowel, which is unnecessary for a flatus-reducing enema.
Therefore, the correct insertion depth of the enema tube is crucial to ensure effectiveness and safety in providing the intended treatment.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

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Question 4 of 5

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Question 5 of 5

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A client has experienced a CVA with right hemiparesis and is ready for discharge from the hospital to a long-term care facility for rehab. To provide optimal continuity of care, the nurse should do all of the following except:
In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:

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