The nursing assistant prepares to administer the soap suds enema and asks the resident to take a deep breath and exhale slowly before inserting the lubricated enema tip. A bleeding loop of bowel prolapses (protrudes) outside the rectum. What is the priority action for the nursing assistant to take?
A) Insert the lubricated tip 3 to 4 inches without any resistance toward the resident's umbilicus.
B) Stop the procedure and report the observation immediately to the nurse.
C) Double-check if the clamp may be adjusted by the nursing assistant before insertion.
D) Determine whether the bedpan is nearby in case the resident needs it during the administration of the enema.
Correct Answer:
Verified
Q3: On inspection of a client's stool, the
Q4: A fecal impaction is relieved by:
A) giving
Q5: What will the nursing assistant do when
Q6: The nursing assistant in orientation is administering
Q7: Why is it important to ensure that
Q9: The nursing assistant is caring for a
Q10: In an older person, the movement of
Q11: Which nursing intervention is helpful to prevent
Q12: The nursing assistant prepares to perform the
Q13: The feces would be more liquid when
Unlock this Answer For Free Now!
View this answer and more for free by performing one of the following actions
Scan the QR code to install the App and get 2 free unlocks
Unlock quizzes for free by uploading documents