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 D
Explanation
When preparing a patient to receive a Fleet enema, the left, lateral side-lying position (also known as the Sims position) is typically the most suitable. This position allows for better access to the rectum, making the administration of the enema easier and more effective. In the Sims position, the patient lies on their left side with the upper knee flexed, which helps to expose the rectal area for the enema administration. It also facilitates the retention of the enema solution, allowing it to flow toward the descending colon.
Correct Answer is D
Explanation
Cleaning the area around a colostomy stoma with mild soap and water is the recommended method. This helps to effectively remove any debris, residue, or stool around the stoma while being gentle on the skin. It is important to use a mild, non-irritating soap and lukewarm water.
Option A, cleaning with alcohol swab and letting it air dry, is not recommended as alcohol can be drying and irritating to the skin around the stoma.
Option B, cleaning with tap water, may not be sufficient to remove debris or bacteria effectively. Mild soap is needed to ensure proper cleaning.
Option C, cleaning with iodine only, is not recommended as iodine may be too harsh and can irritate the skin.
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