In preparing to give enemas until clear to a young child, the ...

[KWilfred]

In preparing to give enemas until clear to a young child, the nurse should select:
 
  a. Tap water. c. Oil retention.
  b. Normal saline. d. Fleet solution.

Question 2

A child is receiving total parenteral nutrition (TPN; hyperalimentation).
 
  At the end of 8 hours, the nurse observes the solution and notes that 200 mL/8 hr is being infused rather than the ordered amount of 300 mL/8 hr. The nurse should adjust the rate so that how much will infuse during the next 8 hours?
  a. 200 mL c. 350 mL
  b. 300 mL d. 400 mL

[billybob123]

Answer to Question 1

ANS: B
Isotonic solutions should be used in children. Saline is the solution of choice. Plain water is not used. This is a hypotonic solution and can cause rapid fluid shift, resulting in fluid overload. Oil-retention enemas will not achieve the until clear result. Fleet enemas are not advised for children because of the harsh action of the ingredients. The osmotic effects of the Fleet enema can result in diarrhea, which can lead to metabolic acidosis.

Answer to Question 2

ANS: B
The TPN infusion rate should not be increased or decreased without the practitioner being informed because alterations in rate can cause hyperglycemia or hypoglycemia. The infusion rate should be reset to the prescribed flow rate.

[KWilfred]

Thanks for the timely response, appreciate it

[sultansheikh]

Excellent