A nurse is monitoring bowel elimination of a patient who has a history of constipation. The nurse implements measures to assist with bowel elimination if the patient has not had a bowel movement what would be the BEST option to try first?

Stool softener

Soap suds enema

Suppository

Mineral oil enema

Answer and Explanation

The Correct Answer is A

Choice A: A stool softener is the best option to try first for a patient with constipation as it helps to soften the stool, making it easier to pass.

Choice B: Soap suds enemas are used to promote bowel movements, but they are more invasive and can cause discomfort. Stool softeners should be tried before resorting to enemas.

Choice C : Suppositories can also help with constipation, but they are generally not the first option to try. Stool softeners are milder and more suitable initially.

Choice D: While mineral oil enemas can provide lubrication to facilitate bowel movements, stool softeners are generally preferred for their milder action.

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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.

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 monitoring bowel elimination of a patient who has a history of constipation. The nurse implements measures to assist with bowel elimination if the patient has not had a bowel movement what would be the BEST option to try first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

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