Try Naxlex NCLEX-RN (Free-Trial)

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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["B","E","F"]

Explanation

Rationale:

A. Large meals can increase nausea and discomfort postoperatively. Small, frequent meals are recommended.

B. Gradually advancing from clear liquids to solid foods helps prevent nausea, vomiting, and gastrointestinal complications while allowing the digestive system to adjust.

C. Skipping meals can lead to malnutrition and delayed recovery.

D. High-fat foods are harder to digest and can exacerbate nausea and abdominal discomfort.

E. Gum chewing promotes bowel motility and can reduce the risk of postoperative ileus.

F. Maintaining fluid balance prevents constipation, dehydration, and electrolyte imbalances, supporting recovery.

G. While this may be important depending on the surgical site, it is not a dietary strategy.

A. Jaundice B. Hepatic encephalopathy C. Ascites D. Regular exercise

Correct Answer is ["A","B","C"]

Explanation

Rationale:

A. Decompensated cirrhosis impairs the liver’s ability to process bilirubin, leading to yellowing of the skin and eyes.

B. Accumulation of ammonia and other toxins due to liver dysfunction can cause confusion, altered level of consciousness, and asterixis.

C. Fluid shifts into the peritoneal cavity occur due to low albumin levels and portal hypertension, causing abdominal distention.

D. While beneficial for overall health, exercise is not a clinical manifestation of cirrhosis.

View Question and Answer

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

Which of the following are contraindications for administering a tap water enerna? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to discharge a client from a surgical unit. Exhibits Which 3 dietary strategies should the nurse recommend to prevent post- operative complications for this client?

Correct Answer is ["B","E","F"]

Explanation

Which of the following is a clinical manifestation of decompensated cirrhosis? (select all that apply)

Correct Answer is ["A","B","C"]

Explanation

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values?

A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?

A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3 mEq/L. The nurse should monitor the client for which of the following complications?

What is the primary reason for administering isotonic crystalloid IV fluids to a client with fluid volume deficit?

A client is prescribed lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication?

A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include?

A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain?

A nurse is caring for a client in the gastroenterology unit. Exhibits Select the key indicators of improvement when evaluating the effectiveness of paracentesis in clients with cirrhosis