Which doctor's order should be questioned?

An oil retention enema for a patient using mineral oil laxatives

A normal saline enema to be repeated every 4 hours until stool is produced

A hypertonic solution enema with a patient with fluid volume excess

A Kayexalate enema for a patient with hypokalemia

Answer and Explanation

The Correct Answer is C

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Correct Answer is D

Explanation

Choice A: Holding the enema for only 5 minutes may not provide enough time for the mineral oil to soften the stool and facilitate a bowel movement.

Choice B Holding the enema for 60 minutes is unnecessary and can lead to discomfort and difficulty for the patient.

Choice C Holding the enema for only 1 minute is too short for the mineral oil to be effective in softening the stool.

Choice D Encouraging the patient to hold the mineral oil enema for a minimum of 15 minutes allows sufficient time for the oil to work on the stool and improve the chances of a successful bowel movement.

A. "Listening to your bowel sounds is just part of the physical assessment, so it's nothing you need to worry about. It will only take me a few minutes to listen; then I'll let you rest." B. "Your surgeon has written orders to assess your abdomen every 4 hours. I'm sorry if it worries you, but I must do my job." C. "General anesthesia puts everything to sleep, including the bowel, so it is important to determine when bowel sounds have returned." D. "We listen so we can let your surgeon know your gastrointestinal system wasn't damaged by the anesthesia."

Correct Answer is C

No explanation

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Which doctor's order should be questioned?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who is constipated has just received a mineral oilretention enema. The nurse encourages this patient to hold this enema for a minimum of how long?

Correct Answer is D

Explanation

The day after surgery, a patient asks a nurse, "Why do the nurses keep listening to my abdomen? That's not where I had surgery." Which of the following responses best answers the patient's question?

Correct Answer is C

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Which doctor's order should be questioned?

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