Author Question: The nurse is caring for several clients complaining of constipation. A digital rectal examination ... (Read 52 times)

jhjkgdfhk · **on:** Jul 22, 2018

The nurse is caring for several clients complaining of constipation. A digital rectal examination can be safely performed on the client with a diagnosis of:

1. Transurethral resection of the prostate gland.
2. Myocardial infarction.
3. Increased intracranial pressure.
4. Hiatal hernia repair.

Question 2

The nurse teaching parents about sudden infant death syndrome prevention emphasizes the importance of:

1. Placing the infant on his back to sleep.
2. Checking on the infant frequently.
3. Having an infant monitor in the infant's room.
4. Dressing the infant warmly and removing blankets from the crib.

Mholman93 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4
Rationale: Digital rectal examination is contraindicated in clients with a transurethral resection of the prostate gland (increased bleeding), myocardial infarction (vagal stimulation could cause arrhythmia), and increased intracranial pressure (will cause increase in pressure) so the only client that can have a digital rectal disimpaction safely performed is the one with a hiatal hernia repair.

Answer to Question 2

1
Rationale: The most important measure in SIDS prevention is placing the infant on his back to sleep. SIDS normally occurs quickly and silently, so an infant monitor or checking the infant frequently would have no preventative effects. Dressing the infant warmly and removing blankets are generally not applicable to SIDS prevention.