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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A Using a cool solution might cause discomfort and could lead to cramping, which is not ideal for an enema administration.

Choice B Boiling the solution is unnecessary and might be unsafe, as it could cause burns or damage the components of the enema.

Choice C Warming the solution to body temperature (around 98.6°F or 37°C) is the appropriate approach, as it ensures patient comfort and reduces the risk of cramping or discomfort.

Choice D Microwaving the solution might lead to uneven heating and could potentially create hot spots, which could cause burns or discomfort for the patient.

A. An oil retention enema for a patient using mineral oil laxatives B. A normal saline enema to be repeated every 4 hours until stool is produced C. A hypertonic solution enema with a patient with fluid volume excess D. A Kayexalate enema for a patient with hypokalemia

Correct Answer is C

No explanation

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A nurse is educating a patient on how to irrigate an ostomy bag. Which statement by the patient indicates the need for further instruction?

Nursing Test Bank

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