An adult patient has orders for an enema. A nurse will

Give the enema to the patient while he or she sits on the toilet.

Insert the tip of the enema tube into the rectum pointing towards the umbilicus.

Have the patient lie on the right side to facilitate the instillation of water.

Chill the water to a temperature between 75°F and 85°F.

Answer and Explanation

The Correct Answer is B

The correct answer is choice b. Insert the tip of the enema tube into the rectum pointing towards the umbilicus.

Choice A rationale:

Giving the enema while the patient sits on the toilet is incorrect because it can cause discomfort and does not allow for proper administration of the enema solution.

Choice B rationale:

Inserting the tip of the enema tube into the rectum pointing towards the umbilicus is correct because it follows the natural curvature of the rectum and colon, ensuring effective delivery of the solution.

Choice C rationale:

Having the patient lie on the right side is incorrect. The left lateral position is typically recommended for enema administration as it allows the solution to flow more easily into the sigmoid colon and descending colon.

Choice D rationale:

Chilling the water to a temperature between 75°F and 85°F is incorrect. The enema solution should be warmed to body temperature (around 99°F to 106°F) to avoid causing cramping or discomfort.

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Correct Answer is A

No explanation

A. A 40yearold patient with an ileostomy B. A 70yearold patient with incontinence C. A 30yearold patient with C. difficile D. A 25yearold patient with Crohn's disease

Correct Answer is B

Explanation

Choice A A bowel training schedule is not typically required for patients with an ileostomy, as they have a surgically created opening (stoma) for stool to pass directly out of the body.

Choice B Bowel training can be beneficial for patients with incontinence, as it involves establishing a regular toileting routine to help regain bowel control and prevent accidental bowel movements.

Choice C C. difficile is an infectious condition that affects the gastrointestinal tract, and bowel training may not be the primary intervention for this patient.

Choice D Crohn's disease is a chronic inflammatory bowel disease, and while bowel training may be helpful for some Crohn's patients, it is not the most common intervention for this condition.

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An adult patient has orders for an enema. A nurse will

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult's perineal skin appears to be dry and thin with mild excoriation. When providing hygiene after a bowel movement, the nurse should

Correct Answer is A

The nurse knows that a bowel training schedule would be most beneficial in the plan of care for which patient?

Correct Answer is B

Explanation

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