There is an order to administer a large volume, cleansing enema to an adult patient. The enema bag is filled with how many milliliters of fluid for this procedure?
300 to 500 mL
500 to 1000 mL
200 to 300 mL
050 to 150 mL
The Correct Answer is B
ChoiceA: This volume might be insufficient for a large volume, cleansing enema, as it may not effectively cleanse the colon.
Choice: This range is the appropriate volume for a large volume, cleansing enema, as it provides enough fluid to cleanse the colon effectively without causing excessive distension.
Choice C: This volume is too low for a large volume, cleansing enema, and it may not be enough to achieve the desired effect.
Choice D: This volume is too low for a large volume, cleansing enema, and it may not effectively cleanse the colon.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A This range of bowel sounds is considered normal. Hyperactive bowel sounds refer to an increased frequency and intensity of bowel sounds, exceeding the upper limit of the normal range.
Choice B Bowel sounds less than the normal range might indicate decreased bowel motility but are not associated with hyperactive bowel sounds.
Choice C Absent bowel sounds would be concerning and may indicate an ileus or other gastrointestinal issue, but it is not associated with hyperactive bowel sounds.
Choice D Hyperactive bowel sounds are characterized by an increased frequency and intensity of bowel sounds, exceeding the normal range, and are likely to be documented in a patient with abdominal pain.
Correct Answer is C
Explanation
Choice A This statement is correct, as patients should never attempt to insert anything into the stoma to remove fecal material.
Choice B This statement is also correct, as using warm water for irrigation can help reduce discomfort and cramping during the procedure.
Choice C This statement is incorrect. Patients should use only the irrigation solution recommended by their healthcare provider, as using the wrong solution can lead to complications or damage to the stoma.
Choice D This statement is correct, as sitting on the toilet allows the ostomy bag and irrigation solution to drain directly into the toilet, making the procedure more convenient.
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