The nurse is caring for a client who is on complete bed rest ...

[roselinechinyere27m]

The nurse is caring for a client who is on complete bed rest secondary to a deep vein thrombosis in the right leg. When placing the client on the bedpan, which position is most appropriate?
 
  1. Prone
  2. Semi-Fowler's
  3. Fowler's
  4. Supine

Question 2

The nurse is administering a cleansing enema. Which action would indicate the need for further instruction on the process?
 
  1. Enema solution is warmed to 40 C (105 F).
  2. The solution container is held 12 inches above the rectum.
  3. 1,000 mL of fluid is administered over 30 minutes.
  4. The client is encouraged to retain the enema for 5-10 minutes.

[Danny Ewald]

Answer to Question 1

Correct Answer: 3

The client is likely to be better able to evacuate her bowels if the normal position for toileting is obtained. Placing the client in the Fowler's position simulates this normal toileting position, and would not be contraindicated by the medical diagnosis. The other positions are not optimal.

Answer to Question 2

Correct Answer: 3

The fluid should be administered over 10-15 minutes, not 30 minutes. The remaining actions are correct.

[roselinechinyere27m]

Correct answers!

[Danny Ewald]

Great! Please up vote