A patient is having trouble defecating into a bedpan while lying in bed. Which action by the nurse would assist the patient in having a successful bowel movement?
Administering laxatives to the patient
Preparing to administer a cleansing enema
Withholding narcotic pain medication for at least 2 hours until the patient had a bowel movement successfully.
Raising the head of the bed to a semi or high Fowler's position
The Correct Answer is D
Choice A Laxatives might be an option, but they should not be the first intervention. Other noninvasive measures should be tried first.
Choice B Administering a cleansing enema is not the first intervention for a patient having
trouble defecating into a bedpan. It is an invasive procedure and should be considered after less invasive measures have been tried.
Choice C Withholding pain medication might lead to unnecessary discomfort for the patient and is not the best approach to promote bowel movements.
Choice D Raising the head of the bed will help the patient assume a more upright position, which can facilitate bowel movement and defecation into the bedpan more effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Alcohol swabs may be too harsh and irritating for the delicate skin around the stoma. Mild soap and water are preferred for cleaning.
Choice B Tap water alone may not be sufficient for removing debris and ensuring proper cleanliness around the stoma. Mild soap and water are preferred for cleaning.
Choice C Iodine may be too harsh and irritating for the peristomal skin. Mild soap and water are preferred for cleaning.
Choice D Mild soap and water are the best choice for cleaning around the colostomy stoma as they effectively remove debris and cleanse the area without being overly harsh on the skin.
Correct Answer is C
No explanation
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