Author Question: An adult client is to have a large-volume cleansing enema. The nurse is aware that the MOST ... (Read 64 times)

mwit1967 · **on:** Jul 22, 2018

An adult client is to have a large-volume cleansing enema. The nurse is aware that the MOST appropriate temperature of the solution to be administered should be:

a. 100 degrees Fahrenheit c. 115 to 120 degrees Fahrenheit
b. 105 to 110 degrees Fahrenheit d. 125 degrees Fahrenheit

Question 2

A nurse has been commissioned to ensure that the policies and procedures at a large, multisite healthcare institution comply with the Nursing Home Reform Law. What trend initially prompted the enactment of this legislation?

A) The high incidence of accidental poisonings among older adults living in care facilities
B) The widespread use of physical restraints in long-term care facilities
C) Increases in the number of falls among older adults and the deaths attributable to falls
D) A series of fires that occurred in nursing homes in the 1980s

Li Jun · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
A large-volume enema is designed to clean the colon of as much feces as possible. Place the client in a left side-lying position with the right leg sharply flexed. This facilitates the flow of the fluid into the colon. The temperature of the enema solutions should be 105 to 110 degrees Fahrenheit.

Answer to Question 2

B
Feedback:
After research studies revealed the widespread use of physical restraints in long-term care facilities, federal legislation known as the Nursing Home Reform Law was incorporated in the Omnibus Budget Reconciliation Act (OBRA) in 1987.