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All Blogs related to the NNAAP Maryland Geriatric Nurse Aide Exam

NNAAP Maryland Geriatric Nurse Aide - Blogs Sample Questions

When administering a small-volume enema the patient should be in what position to help retain the enema until the urge to defecate occurs?

Correct Answer:
lying on the left side


the correct position for administering a small-volume enema is lying on the left side, commonly referred to as the sims’ position. this position is recommended because it aligns the rectum and sigmoid colon in a manner that encourages the flow of the enema solution into the sigmoid colon and rectum without causing discomfort or unnecessary pressure. by lying on the left side, the force of gravity helps the fluid to move deeper into the colon, promoting better contact with the colon walls where it can exert its effect more efficiently.

in the sims' position, the patient lies on their left side with the right leg bent toward the chest and the left leg slightly bent. this positioning not only aids in the optimal flow of the enema solution but also helps in retaining the fluid. when the enema solution is retained for the recommended duration, usually about 5 to 10 minutes, it softens the stool and stimulates the natural urge to defecate. this process is crucial for the effectiveness of the enema, as premature expulsion of the enema solution can diminish its effectiveness in relieving constipation or cleansing the lower bowel.

other positions, such as lying on the back, stomach, or sitting up, do not provide the same gravitational benefits and may lead to discomfort or difficulty in retaining the enema solution. these positions might cause the solution to pool inappropriately within the rectum or leak out, which could be less effective and more uncomfortable for the patient.

thus, for the administration of a small-volume enema, the sims' position on the left side is not only traditional but anatomically and practically the most effective method to achieve the desired therapeutic outcomes. this position facilitates a smoother and more complete administration process, helping ensure that the patient experiences the full benefits of the enema.

In terms of bedpans, the fracture pan is used for persons in all but which of the following conditions/diseases?

Correct Answer:
persons with pneumonia


a fracture pan, also known as a fracture bedpan, is a specific type of bedpan designed for individuals who have limited mobility due to various medical conditions or surgeries. this tool is essential in hospital settings and care facilities, providing a means for patients who cannot easily move to manage their bodily functions with dignity and comfort. the design of the fracture pan is particularly suited for those with severe restrictions in movement.

the key feature of a fracture pan is its low profile and tapered end, which allows it to be easily slid under a patient's body with minimal lifting or disruption. this is particularly beneficial for patients who are in casts, in traction, have limited back motion, or have undergone surgeries that affect their mobility, such as spinal cord injury surgeries, hip fractures, or hip replacement surgeries. these conditions often leave patients unable to lift their hips high enough to use a standard bedpan, making the fracture pan an ideal alternative.

on the other hand, individuals suffering from pneumonia generally do not require a fracture pan. pneumonia primarily affects the lungs and does not impede the mobility of the lower body. patients with pneumonia typically retain the ability to move sufficiently to use a standard bedpan unless they are severely weakened or have other underlying conditions that limit their mobility. thus, while they require care and assistance, the specific design features of the fracture pan are not necessary for managing their sanitation needs.

in conclusion, while the fracture pan is a critical tool for those with significant mobility restrictions due to musculoskeletal injuries or surgeries, it is not commonly required for patients dealing solely with respiratory issues like pneumonia. these patients generally can manage with standard bedpans, reflecting the importance of using medical equipment that is appropriately tailored to each patient's specific health circumstances.

Additional Blogs for NCSBN - National Council of State Boards of Nursing dfgdfgdfg

In your journey to get NNAAP Maryland Geriatric Nurse Aide certified it is important for you to have all information related to your exam. So we have pulled together a list of additional blogs that may be of interest to you because that are all related to the National Council of State Boards of Nursing.

Exam Edge Blogs for NCSBN - National Council of State Boards of Nursing