A nurse is educating a patient on how to irrigate an ostomy bag. Which statement by the patient indicates the need for further instruction?
"I should never attempt to reach into my stoma to remove fecal material."
"Using warm enema will reduce cramping and discomfort during the procedure."
"To properly irrigate and clean my ostomy stoma, I can use any solution that is convenient."
"Sitting on the toilet lets the ostomy bag and irrigant drain into the toilet bowl."
The Correct Answer is C
Choice A This statement is correct, as patients should never attempt to insert anything into the stoma to remove fecal material.
Choice B This statement is also correct, as using warm water for irrigation can help reduce discomfort and cramping during the procedure.
Choice C This statement is incorrect. Patients should use only the irrigation solution recommended by their healthcare provider, as using the wrong solution can lead to complications or damage to the stoma.
Choice D This statement is correct, as sitting on the toilet allows the ostomy bag and irrigation solution to drain directly into the toilet, making the procedure more convenient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Addressing the cause of the patient's anxiety and fear is the priority to provide
emotional support and comfort. The nurse should actively listen to the patient's concerns and offer appropriate reassurance and information.
Choice B While assessing the patient's bowel sounds and gas is important for the overall care, it is not the priority at this moment when the patient is expressing fear and anxiety.
Choice C Addressing the family's questions is important, but the patient's emotional wellbeing should be the immediate focus.
Choice D Respiratory assessment is essential but is not the priority when the patient is expressing fear and anxiety about the upcoming surgery.
Correct Answer is D
Explanation
Choice A The supine position is not suitable for administering an enema as it does not facilitate proper flow and retention of the solution.
Choice B High Fowler's position is not the best option for enema administration, as it might cause discomfort and hinder proper administration.
Choice C Semi Fowler's position is also not the best option for enema administration, as it may not allow the solution to flow effectively.
Choice D The Sims position, with the patient lying on the left side with the right knee flexed, allows the enema solution to flow downward by gravity and improves retention. It is the best position for enema administration.
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