Author Question: MC John Jones, a 26-year-old college student, was involved in a motor vehicle accident and sustained ... (Read 53 times)

tichca · **on:** Jul 24, 2018

MC John Jones, a 26-year-old college student, was involved in a motor vehicle accident and sustained a head injury 2 hours before you provide nursing care for him on the surgical nursing unit.

The most appropriate goal included in John's care plan should be to monitor 1) Changes in level of consciousness 2) Signs and symptoms 3) Intake and output 4) Skin color and integrity The phase of the nursing process illustrated in this question is A. Assessment
B. Planning
C. Implementation
D. Evaluation

Question 2

The nurse has been directed to provide an enema for an elderly female patient who has very poor rectal sphincter control. Which position is most appropriate for this patient?

a. Sims' position
b. Dorsal recumbent position on the bedpan
c. Sitting on the toilet
d. Right lateral position

Chou · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

B

Answer to Question 2

B
If the patient has poor sphincter control, position the patient on the bedpan in a comfortable dorsal recumbent position. Patients with poor sphincter control cannot retain all of the enema solution. Administering an enema with the patient sitting on the toilet is unsafe because curved rectal tubing can abrade the rectal wall.