PRN 1178 UPDATED FINAL PAPER QUESTIONS AND
ANSWERS MARKED A+
✔✔enema - ✔✔the introduction of fluid into the rectum and colon by means of a tube
-administered to stimulate peristalsis and the urge to deflate
-per providers orders
-tube with hanging bag, or fleet enema (one Time use bottle)
✔✔enema procedure - ✔✔Perform hand hygiene, prepare enema solution, pour
solution into enema bag, allowing it to fill tubing, & then close clamp
-explain procedure to client; provide privacy; provide quick access to a commode or
bedpan;
-place absorbent pads under client to protect bed linens;
-position client on left side with right leg flexed forward*;
-put on gloves;
-lubricate rectal tube or nozzle; slowly insert rectal tube 3 to 4 inches*
-for child insert tube 2 to 3 inches; with bag level with clients hip*
-open clamp; raise bag 30 to 45 cm above anus, depending on level of cleansing
desired;
-*slow flow of solution if client reports cramping, or if fluid intake leaks around tube at
anus;
-if using pre-packed solution, insert lubricated tip into rectum & squeeze container until
solution is administered
-Ask client to retain solution for prescribed amount of time, or until the client no longer
able to retain it; -discard enema bags & tubing;
-assist client to appropriate position to defecate*;
-remove gloves; perform hand hygiene;
-for client who have little or no sphincter control, administer enema on a bedpan*;
-document results & clients' tolerance of procedure
✔✔ Lower Gastrointestinal Anatomy - ✔✔Small Intestine: Duodenum, Jejenum, Ilieum
Large Intestine: Secum, Colon, Rectum, Anal Canal
✔✔Focused Assessment of Lower GI - ✔✔Inspection, Auscultation, Palpation
✔✔irritable bowel syndrome (IBS) - ✔✔symptom complex marked by abdominal pain
and altered bowel function (typically constipation, diarrhea, or alternating constipation
and diarrhea) for which no organic cause can be determined; mucus in stool, bloating,
relief upon defecation
✔✔IBS health promotion - ✔✔Keep Food and Fluid Diary, make note of foods/fluids
ingested triggers symptoms. Consume 2-3 L of water per day, increase fiber intake,
manage stress
ANSWERS MARKED A+
✔✔enema - ✔✔the introduction of fluid into the rectum and colon by means of a tube
-administered to stimulate peristalsis and the urge to deflate
-per providers orders
-tube with hanging bag, or fleet enema (one Time use bottle)
✔✔enema procedure - ✔✔Perform hand hygiene, prepare enema solution, pour
solution into enema bag, allowing it to fill tubing, & then close clamp
-explain procedure to client; provide privacy; provide quick access to a commode or
bedpan;
-place absorbent pads under client to protect bed linens;
-position client on left side with right leg flexed forward*;
-put on gloves;
-lubricate rectal tube or nozzle; slowly insert rectal tube 3 to 4 inches*
-for child insert tube 2 to 3 inches; with bag level with clients hip*
-open clamp; raise bag 30 to 45 cm above anus, depending on level of cleansing
desired;
-*slow flow of solution if client reports cramping, or if fluid intake leaks around tube at
anus;
-if using pre-packed solution, insert lubricated tip into rectum & squeeze container until
solution is administered
-Ask client to retain solution for prescribed amount of time, or until the client no longer
able to retain it; -discard enema bags & tubing;
-assist client to appropriate position to defecate*;
-remove gloves; perform hand hygiene;
-for client who have little or no sphincter control, administer enema on a bedpan*;
-document results & clients' tolerance of procedure
✔✔ Lower Gastrointestinal Anatomy - ✔✔Small Intestine: Duodenum, Jejenum, Ilieum
Large Intestine: Secum, Colon, Rectum, Anal Canal
✔✔Focused Assessment of Lower GI - ✔✔Inspection, Auscultation, Palpation
✔✔irritable bowel syndrome (IBS) - ✔✔symptom complex marked by abdominal pain
and altered bowel function (typically constipation, diarrhea, or alternating constipation
and diarrhea) for which no organic cause can be determined; mucus in stool, bloating,
relief upon defecation
✔✔IBS health promotion - ✔✔Keep Food and Fluid Diary, make note of foods/fluids
ingested triggers symptoms. Consume 2-3 L of water per day, increase fiber intake,
manage stress
