Try Naxlex NCLEX-RN (Free-Trial)

A nurse is caring for an elderly client experiencing gastrointestinal discomfort.

Exhibits
Select the appropiate client instructions for the administration of enemas

A.

Retain the fluid for a few minutes before expelling

B.

Be aware of potential electrolyte imbalances

C.

Avoid using enemas frequently

D.

Understand the benefits of different solutions

E.

Follow provider instructions on enema type and solution

F.

Increase intake of fluids to aid bowel movement

Answer and Explanation

Correct Answer : A,C,E

Rationale:

  • Retaining the fluid allows the enema to soften stool and stimulate peristalsis effectively.
  • Avoiding frequent use prevents dependence and irritation of the bowel.
  • Following provider instructions ensures safe and appropriate selection of enema type and solution for the client’s condition.
  • Electrolyte imbalances, benefits of solutions, and fluid intake are important considerations but are broader teaching points, not immediate enema administration instructions.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is C

Explanation

Rationale:

A. Seizures are more commonly associated with severe electrolyte imbalances like hyponatremia, not mild hypokalemia.

B. Neurogenic shock is related to spinal cord injury, not potassium imbalance.

C. Hypokalemia (potassium 3.3 mEq/L; normal 3.5–5.0 mEq/L) increases the risk of ventricular arrhythmias, palpitations, and potentially life-threatening cardiac complications, especially in clients taking diuretics like furosemide.

D. Low potassium does not directly cause hypoglycemia.

Correct Answer is ["A","B","D"]

Explanation

Rationale:

A. Probiotics, such as yogurt with live cultures, can promote healthy gut flora and improve bowel regularity.

B. Physical activity stimulates peristalsis, helping prevent constipation, especially in clients who have reduced mobility postoperatively.

C. Low-fiber foods worsen constipation. Clients should consume high-fiber foods such as fruits, vegetables, and whole grains to promote bowel movements.

D. Adequate hydration softens stool and prevents fecal impaction, particularly important for clients taking opioid pain medications.

E. Drinking warm or hot liquids can actually help stimulate bowel movements. There is no need to avoid them.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register