Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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A nurse specialist delegates a ten-year-old patient to the nursing assistant. The nursing assistant is administering an enema to the patient. The nurse specialist should intervene if the nursing assistant:
  1. Advances the catheter four inches into the anal canal
  2. Lubricates four - five inches of the catheter tip
  3. Positions the patient on the right side with head slightly elevated
  4. Hangs the enema bag twelve - eighteen inches above the anus
Explanation
Answer - C - The nursing assistant is administering an enema to the patient and the nurse specialist should intervene if the nursing assistant positions the patient on the right side with head slightly elevated. The patient should be placed in lefty lateral position to facilitate flow of solution by gravity.
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