A patient who is constipated has just received a mineral oil-retention enema. The nurse encourages this patient to hold this enema for a minimum of how long?
5 minutes
60 minutes
1 minutes
15 minutes
The Correct Answer is D
When a patient receives a mineral oil-retention enema for constipation, it is important for them to hold the enema for at least 15 minutes to allow the mineral oil to soften the stool and facilitate its passage. During this time, the patient should try to resist the urge to defecate and retain the enema solution in the rectum for the desired effect.
Holding the enema for just 5 minutes (option A) may not provide sufficient time for the mineral oil to have an optimal effect on softening the stool.
Holding the enema for 60 minutes (option B) is incorrect because is not typically necessary and may cause discomfort or inconvenience to the patient. Most mineral oil-retention enemas do not require such a long duration of retention.
Holding the enema for just 1 minute (option C) is incorrect because is too short a duration for the mineral oil to have any significant effect on softening the stool.
It is important for the nurse to provide specific instructions to the patient regarding the duration of enema retention and ensure the patient understands the importance of following these instructions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The faceplate, also known as the wafer or barrier, of an ostomy appliance should typically be changed every 3 to 5 days. This timeframe allows for regular maintenance of the stoma and surrounding skin, ensuring proper hygiene and minimizing the risk of skin irritation or infection. However, it's important to note that individual circumstances may vary, and the frequency of faceplate changes can be adjusted based on the patient's specific needs, the type of ostomy, and the condition of the skin. Regular assessment of the stoma and peristomal skin is essential to determine the optimal timing for faceplate changes.
Correct Answer is B
Explanation
A.Waiting until the bag is completely full before emptying can lead to leakage, discomfort, and potential damage to the stoma or skin surrounding it. It's generally best to empty the bag before it becomes completely full.
B.This is a good practice to prevent overfilling and reduce the risk of leaks or discomfort. Emptying the bag when it is about half full helps maintain the bag's functionality and ensures the stoma site remains clean and secure.
C. 1/4 full
While emptying the bag at this level could prevent overfilling, it may be more frequent than necessary and could be inconvenient for the patient.
D. % full The exact percentage is not typically used as a guideline for when to empty the bag. The general practice is based on visual assessment of how full the bag is.

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