se select only one answer for each of the following questions)
1. During a preoperative enema for colon surgery, the nurse notes that the solution has stopped flowing into the rectum after only about 50 ml have infused. The nurse ensures that the positioning of the patient and the rectal tubing is correct and carefully tries to reposition the enema tubing with no success. What should the nurse do?Go to
Question 2A. Insert the enema tubing farther into the rectum.B. Stop administering the enema and notify the practitioner.C. Increase the force of the solution flow.D. Have the patient bear down and then relax the rectal sphincter.
2. Following prostate surgery, a patient whose bowel sounds are normal in quality and quantity reports significant constipation. The practitioner orders an oil-retention enema. Why should the nurse question this order?Go to
Question 3A. A hypertonic solution enema is more appropriate because of its smaller volume.B. The patient’s bowel sounds are normal in quality and quantity.C. A physiologic normal saline enema is safest to prevent fluid and electrolyte imbalances.D. Enemas are contraindicated following recent prostate surgery.
3. Which of the following is appropriate when administering an enema to a patient with a history of poor anal sphincter control?Go to
Question 4A. Position the patient on the bedpan in a comfortable dorsal recumbent position.B. Use multiple waterproof pads under the patient to retain the solution as it is expelled.C. Place a rolled towel between the patient’s legs to provide more time to place the patient on the bedpan.D. Position the patient on the toilet in a comfortable sitting position.
4. The nurse is caring for a child with constipation. Assessment reveals active bowel sounds but no bowel movement for 3 days. What is the recommended initial treatment?Go to
Question 5A. An oil-based commercial enemaB. A stool softenerC. A prepackaged hypertonic enemaD. A physiologic normal saline enema
5. An older adult patient’s abdomen is distended, with adequate bowel sounds. The patient has not had a bowel movement in 3 or 4 days and is extremely constipated. The practitioner orders an enema until clear. What is the most important risk for this patient because of the ordered “enemasuntil clear”?Back to TopA. Fluid and electrolyte imbalance, leading to unstable vital signsB. Difficulty remaining in the dorsal recumbent position throughout the treatmentC. The patient’s inability to tolerate the length of time it may take for the enema to return clear, without fecal materialD. The patient’s inability to retain the enema for the necessary length of time