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 C

Explanation

Choice A Depending on laxatives or stool softeners every day may lead to dependence and can be harmful in the long term. It is not a preferred approach for managing constipation.

Choice B While eating smaller, more frequent meals can aid digestion, it is not the primary strategy for preventing constipation.

Choice C : Increasing dietary fiber intake is an effective way to promote regular bowel

movements and prevent constipation. Gradually increasing fiber intake helps the body adjust to the increased fiber load.

Choice D Adequate fluid intake is important for bowel health, but focusing solely on fluid intake may not be as effective as increasing dietary fiber to prevent constipation.

A. Administering laxatives to the patient B. Preparing to administer a cleansing enema C. Withholding narcotic pain medication for at least 2 hours until the patient had a bowel movement successfully. D. Raising the head of the bed to a semi or high Fowler's position

Correct Answer is D

Explanation

Choice A Laxatives might be an option, but they should not be the first intervention. Other noninvasive measures should be tried first.

Choice B Administering a cleansing enema is not the first intervention for a patient having

trouble defecating into a bedpan. It is an invasive procedure and should be considered after less invasive measures have been tried.

Choice C Withholding pain medication might lead to unnecessary discomfort for the patient and is not the best approach to promote bowel movements.

Choice D Raising the head of the bed will help the patient assume a more upright position, which can facilitate bowel movement and defecation into the bedpan more effectively.

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Which doctor's order should be questioned?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A male patient has told a nurse that he occasionally fights constipation. Teaching the patient how to prevent constipation and promote normal elimination, the nurse instructs him to

Correct Answer is C

Explanation

A patient is having trouble defecating into a bedpan while lying in bed. Which action by the nurse would assist the patient in having a successful bowel movement?

Correct Answer is D

Explanation

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