Mr. Kelly is a 56-year-old patient with COPD. He does not ...

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Mr. Kelly is a 56-year-old patient with COPD. He does not tolerate a supine position for sleeping. What is the best position for the nurse to suggest for him?
 
  A. Lateral
  B. Prone
  C. Semi-Fowler's
  D. Sims'

Question 2

A nurse has delegated the administration of a tap water enema to the assistive personnel. The assistive personnel demonstrates understanding of the procedure when she states which of the following? Select all that apply.
 
  A. I will lower the enema when the patient complains of cramping.
  B. I will speed the enema administration when the patient complains of cramping.
  C. I will withdraw the tube when the patient complains of cramping.
  D. I will clamp the tubing when the patient complains of cramping.

[Anonymous]

Answer to Question 1

C
In semi-Fowler's position the head of the bed is at a 30-degree angle; you will use this position for patients who will not tolerate a supine position, such as those with cardiac and respiratory problems.

Answer to Question 2

A, D
When the enema is instilled too rapidly, the instillation will cause pain and cramping. The instil-lation should be slowed down. When a patient complains of cramping, lower the container, clamp the tube, or temporarily stop the instillation.

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TYSM

[amcvicar]

Excellent