Which of the following are contraindications for administering a tap water enerna? (Select all that apply)
Electrolyte imbalance risk
Acute appendicitis
Severe dehydration
Regular use of laxatives
History of bowel surgery
Normal bowel function
Increased fluid intake
Correct Answer : A,B,C,E
Rationale:
A. Tap water enemas are hypotonic, and repeated or large-volume use can lead to hyponatremia or other electrolyte disturbances, particularly in infants, elderly clients, or those with renal or cardiac issues.
B. Administering a tap water enema in a client with suspected appendicitis can increase intra-abdominal pressure, potentially causing perforation or worsening the condition.
C. Tap water enemas can further disrupt fluid and electrolyte balance in clients who are already dehydrated, exacerbating their condition.
D. Regular use of laxatives is not a strict contraindication for a tap water enema but may reduce its effectiveness over time due to bowel adaptation.
E. Clients with recent bowel surgery or structural abnormalities are at higher risk for perforation or injury when receiving an enema.
F. Tap water enemas are not indicated for clients with normal bowel function because they are unnecessary and can cause discomfort or dependence.
G. While maintaining hydration is important, it does not contraindicate the use of a tap water enema; it may actually support bowel function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. High-fiber foods are beneficial for bowel regularity and should not be decreased.
B. Excessive or chronic use of stimulant laxatives like bisacodyl can lead to electrolyte imbalances, dehydration, and dependence.
C. While rectal irritation is possible, electrolyte imbalance is the more significant risk.
D. Irregular bowel movements are common and not necessarily indicative of poor intestinal health.
Correct Answer is D
Explanation
Rationale:
A. Percutaneous Transhepatic Cholangiography (PTC) involves inserting a needle through the skin into the liver to visualize bile ducts, not using endoscopy.
B. Endoscopic Ultrasound (EUS) uses an endoscope with ultrasound to image structures near the GI tract but does not combine with radiographic imaging of the ducts.
C. Magnetic Resonance Cholangiopancreatography (MRCP) uses MRI to noninvasively visualize bile and pancreatic ducts, without endoscopy.
D. Endoscopic Retrograde Cholangiopancreatography (ERCP) combines endoscopy with radiographic imaging to examine the bile and pancreatic ducts, allowing both diagnosis and therapeutic interventions.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.