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A nurse educator explains to staff nurses that diarrhea can quickly become lifethreatening in elderly patients because

The elderly patient's total body water percentage increases, weight increases, and diet is altered making it easier to become dehydrated.

Thirst is already diminished, and their percentage of body water is decreased, making them more susceptible to dehydration.

Their decreased ability to concentrate on many daily functions makes them forget to drink fluids, particularly when they are ill.

Their weight increases the likelihood that they will become dehydrated.

Answer and Explanation

The Correct Answer is B

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Correct Answer is A

Explanation

Choice A: Bright red stool can be caused by various factors, including the consumption of certain foods, medications, or gastrointestinal bleeding. Stress can lead to changes in bowel movements and might cause bright red stool due to increased gastrointestinal motility.

Choice B: While it's essential to reassure the patient, dismissing their concern without further assessment is not appropriate. The nurse should still investigate the potential causes of bright red stool.

Choice C: Jumping to conclusions and ordering immediate tests without further assessment is not the best approach. Before taking any action, the nurse should gather more information and assess other possible causes.

Choice D: Suggesting a colonoscopy as the first step is not necessary for every case of bright red stool. Further assessment is needed to determine the cause before resorting to such an invasive procedure.

A. Give the enema to the patient while he or she sits on the toilet. B. Insert the tip of the enema tube into the rectum pointing towards the umbilicus. C. Have the patient lie on the right side to facilitate the instillation of water. D. Chill the water to a temperature between 75°F and 85°F.

Correct Answer is B

Explanation

The correct answer is choice b. Insert the tip of the enema tube into the rectum pointing towards the umbilicus.

Choice A rationale:

Giving the enema while the patient sits on the toilet is incorrect because it can cause discomfort and does not allow for proper administration of the enema solution.

Choice B rationale:

Inserting the tip of the enema tube into the rectum pointing towards the umbilicus is correct because it follows the natural curvature of the rectum and colon, ensuring effective delivery of the solution.

Choice C rationale:

Having the patient lie on the right side is incorrect. The left lateral position is typically recommended for enema administration as it allows the solution to flow more easily into the sigmoid colon and descending colon.

Choice D rationale:

Chilling the water to a temperature between 75°F and 85°F is incorrect. The enema solution should be warmed to body temperature (around 99°F to 106°F) to avoid causing cramping or discomfort.

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A nurse educator explains to staff nurses that diarrhea can quickly become lifethreatening in elderly patients because

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient expresses concerns over having bright red stool. Which response by the nurse is most appropriate?

Correct Answer is A

Explanation

An adult patient has orders for an enema. A nurse will

Correct Answer is B

Explanation

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