Question

An incarcerated client is admitted to the hospital after sustaining multiple contusions and a fractured femur in an assault. After surgical repair of the femur, the client develops paralytic ileus. A nasogastric (NG) tube and cleansing enemas are prescribed. The client has a prison guard assigned to his bedside. How should a nurse proceed to implement a physician's orders?

Answer 1

A nurse should implement a physician's orders for an incarcerated client with paralytic ileus by inserting an NG tube, administering enemas, following hospital policy, respecting the patient's privacy, and documenting all procedures while acknowledging security protocols.

Step-by-step explanation:

When a nurse is tasked with implementing a physician's orders for an incarcerated client with paralytic ileus, including the insertion of a nasogastric (NG) tube and administering cleansing enemas, the nurse should first ensure that all actions are taken in accordance with hospital policy and respecting the patient's privacy and dignity while still considering the security protocols due to the presence of a prison guard. The nurse should prepare the necessary equipment, explain the procedures to the client, and then proceed with the insertion of the NG tube to decompress the stomach and the administration of the enemas as prescribed. Appropriate documentation of all interventions and observations is essential in providing high-quality care and maintaining legal standards.