Correct Answers | New Update
A nurse is preparing to administer a cleansing enema to a patient who is
prone to fecal incontinence due to poor sphincter control and is unlikely to
retain the enema solution. Which of the following interventions is
appropriate for this patient? - 🧠ANSWER ✔✔A) Place the patient in the
dorsal recumbent position on a bedpan.
A patient who is postoperative is experiencing abdominal distention and is
having difficulty expelling flatus. The nurse should anticipate receiving an
order from the provider for which of the following types of enemas? -
🧠ANSWER ✔✔return flow
A nurse is preparing to administer an oil-retention enema to a patient who
has constipation. The nurse explains that the patient should try to retain the
instilled oil for? - 🧠ANSWER ✔✔At least 30 min, but preferably as long as
he can
A nurse is preparing to administer the first of two large volume, cleansing
enemas prescribed for a patient in preparation for a diagnostic procedure.
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, Which of the following is an appropriate step in the procedure? -
🧠ANSWER ✔✔A) Warm the enema solution prior to instillation
A nurse is preparing an older adult patient for an enema. The nurseshould
assist the patient to which of the following positions? - 🧠ANSWER ✔✔Left
lateral with right leg flexed
While a nurse is administering a cleansing enema, the patient reports
abdominal cramping. Which of the following is the appropriate intervention?
- 🧠ANSWER ✔✔Lower the enema fluid container
A nurse who is administering a return-flow enema to a patient should instill
100 mL of enema fluid and then - 🧠ANSWER ✔✔lower the container to
allow the solution to flow back out
A nurse is administering an enema medicated with sodium polystyrene
sulfonate ( Kayexalate) to an older adult patient who has hyperkalemia.
The nurse should insert the tip of the rectal tube: - 🧠ANSWER ✔✔C)
7.5cm-10cm (3-4in)
anal sphincter - 🧠ANSWER ✔✔either of two circular muscles (internal and
external) that open and close to control evacuation of feces (stool) through
the anus
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