NSG3313 Exam 1 study guide
Questions and All Actual Answers
2026 Updated.
types of enemas - Answer cleansing, carminative, retention
cleansing enema - Answer stimulates peristalsis through the infusion of a large volume of
solution
-include tap water, normal saline, soapsuds, and low-volume hypertonic saline enemas
contraindications/precautions of cleansing enemas - Answer Cleansing enema is
contraindicated in patients with fecal stones, children, dehydrated pts, rectal obstruction by
tumor or rectal prolapse, active coronary heart disease, and in comatose or noncompliant
patients.
-soapsuds are irritating and rarely ordered
carminative enemas - Answer help expel flatus from the rectum
-using small volume of fluid
contraindications of carminative enemas - Answer recent rectal surgery
oil retention enemas - Answer designed to soften very hard stool
-often followed by large volume enema
contraindications of oil retention enemas - Answer pt with hypersensitivity to oil
what position would you place a pt in to administer an enema? - Answer left lateral
what should a normal ileostomy stoma look like? - Answer round, reddish, and moist
five factors that increase risk for constipation - Answer 1. low fiber diet
2. low activity level
3. dehydration
4. changes in routine (like traveling)
5. certain medications (ie opioids)
, what risks are associate with diarrhea and how would you assess for them? - Answer
Adverse effects of pharmaceutical agents
Abuse of laxatives
Emotional stress
Intestinal infection
Colon disease and other diseases
Radiation
describe assessment findings with fecal matter in ileostomy - Answer Color - varies based on
diet
Odor - none
Consistency - liquid
describe assessment findings with fecal matter in ascending colon - Answer Color - brown
but varies with diet
Odor - slight smell
Consistency - loose/liquid and somewhat acidic
describe assessment findings with fecal matter in transverse colon - Answer Color - brown
Odor - yes
Consistency - soft/mushy
**some control
describe assessment findings with fecal matter in sigmoid colon - Answer Color - brown
Odor - yes
Consistency - solid and regular
**most common type
describe assessment findings with fecal matter in descending colon - Answer Color - brown
Odor - yes
Consistency - firm
describe paralytic ileus and what type of pt may suffer with this? - Answer the condition
where the motor activity of the bowel is impaired usually without a physical obstruction
-common in infants and children, caused by bacterias, viruses, or imbalances
Questions and All Actual Answers
2026 Updated.
types of enemas - Answer cleansing, carminative, retention
cleansing enema - Answer stimulates peristalsis through the infusion of a large volume of
solution
-include tap water, normal saline, soapsuds, and low-volume hypertonic saline enemas
contraindications/precautions of cleansing enemas - Answer Cleansing enema is
contraindicated in patients with fecal stones, children, dehydrated pts, rectal obstruction by
tumor or rectal prolapse, active coronary heart disease, and in comatose or noncompliant
patients.
-soapsuds are irritating and rarely ordered
carminative enemas - Answer help expel flatus from the rectum
-using small volume of fluid
contraindications of carminative enemas - Answer recent rectal surgery
oil retention enemas - Answer designed to soften very hard stool
-often followed by large volume enema
contraindications of oil retention enemas - Answer pt with hypersensitivity to oil
what position would you place a pt in to administer an enema? - Answer left lateral
what should a normal ileostomy stoma look like? - Answer round, reddish, and moist
five factors that increase risk for constipation - Answer 1. low fiber diet
2. low activity level
3. dehydration
4. changes in routine (like traveling)
5. certain medications (ie opioids)
, what risks are associate with diarrhea and how would you assess for them? - Answer
Adverse effects of pharmaceutical agents
Abuse of laxatives
Emotional stress
Intestinal infection
Colon disease and other diseases
Radiation
describe assessment findings with fecal matter in ileostomy - Answer Color - varies based on
diet
Odor - none
Consistency - liquid
describe assessment findings with fecal matter in ascending colon - Answer Color - brown
but varies with diet
Odor - slight smell
Consistency - loose/liquid and somewhat acidic
describe assessment findings with fecal matter in transverse colon - Answer Color - brown
Odor - yes
Consistency - soft/mushy
**some control
describe assessment findings with fecal matter in sigmoid colon - Answer Color - brown
Odor - yes
Consistency - solid and regular
**most common type
describe assessment findings with fecal matter in descending colon - Answer Color - brown
Odor - yes
Consistency - firm
describe paralytic ileus and what type of pt may suffer with this? - Answer the condition
where the motor activity of the bowel is impaired usually without a physical obstruction
-common in infants and children, caused by bacterias, viruses, or imbalances
