Which type of enema is typically used to relieve constipation by instilling and retaining fluid for a short period before expelling?

Lactulose Enema

Fleet Enema

Tap water enema

Mineral Enema

Answer and Explanation

The Correct Answer is B

Rationale:
A. Lactulose is usually administered orally to soften stools, not as a short-retention enema.
B. A Fleet enema is a hypertonic solution that draws fluid into the colon, is retained briefly, and promotes rapid evacuation of stool to relieve constipation.
C. Tap water enemas are hypotonic and typically require immediate expulsion, not short retention.
D. Mineral oil enemas are retention enemas, meant to soften stool over a longer period, not for rapid evacuation.

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Correct Answer is D

Explanation

Rationale:

A. While bleeding is a potential risk of paracentesis, it is less common than infection.

B. This is not a typical complication of paracentesis.

C. Although large-volume paracentesis can occasionally affect kidney perfusion, renal failure is not the most common complication.

D. Infection of the peritoneal cavity (spontaneous bacterial peritonitis) is the most common and serious complication associated with paracentesis. Proper aseptic technique is essential to minimize this risk.

A. Disinfect equipment in the client's room daily. B. Use alcohol hand sanitizer after completing tasks for the client. C. Place the client in a protective environment. D. Have the client wear a mask when out of the room.

Correct Answer is A

Explanation

Rationale:
A. Clostridium difficile spores are resistant to alcohol and can persist on surfaces. Daily disinfection with a sporicidal agent is essential to prevent transmission.

B. Alcohol-based hand sanitizers are ineffective against C. difficile spores. Handwashing with soap and water is required after contact with the client or contaminated surfaces.

C. A protective environment is used for immunocompromised clients, not for those with C. difficile.

D. Masks are not necessary for routine C. difficile care because the bacteria are spread via the fecal-oral route, not airborne.

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Which type of enema is typically used to relieve constipation by instilling and retaining fluid for a short period before expelling?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which complication is most commonly associated with paracentesis for ascites?

Correct Answer is D

Explanation

A nurse is admitting a client who was prescribed antibiotic therapy and now has a Clostridium difficile infection. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate?

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

A nurse is assessing a client who has an obstruction of the common bile duct resulting from chronic cholecystitis. Which of the following findings should the nurse expect?

A patient who has chronic constipation asks the nurse about the use of psyllium (Metamucil). Which information will the nurse include in the response?

A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client statements indicates an understanding of the teaching? (Select all that apply.)

A nurse is planning care for a client who has viral hepatitis. Which of the following actions should the nurse include in the plan of care?

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

A nurse is teaching a client who has a prescription of a nasogastric tube (NG) to treat a pyloric obstruction. Which of the following rationales for the use of the nasogastric tube should the nurse include in the teaching?