Which word should the nurse use when describing to a client how a soapsuds enema affects the intestine?
Lubricating
Irritating
Dilating
Softening
The Correct Answer is B
A. Lubricating: A lubricating enema typically refers to an enema solution that contains a lubricant, such as mineral oil, to help soften feces and facilitate their passage from the rectum. Lubricating enemas are used to alleviate constipation by easing the passage of stool. However, soapsuds enemas do not primarily function as lubricating enemas.
B. Irritating: This is the correct option. Soapsuds enemas contain soap or detergent mixed with water, and their primary action is to irritate the intestinal mucosa. The irritation stimulates peristalsis, which promotes bowel evacuation. Soapsuds enemas are often used to relieve constipation by inducing bowel movements through irritation of the intestinal lining.
C. Dilating: Dilating refers to widening or enlarging a structure. While enemas, including soapsuds enemas, may contribute to the relaxation and dilation of the rectum and lower bowel, the primary action of a soapsuds enema is to stimulate bowel evacuation through irritation rather than dilation.
D. Softening: Softening enemas typically involve the introduction of a solution, such as a mineral oil-based solution, to soften feces and facilitate their passage from the rectum. While softening enemas help alleviate constipation by softening stool consistency, soapsuds enemas do not primarily function as softening enemas. Their main action is to stimulate bowel evacuation through irritation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Docusate sodium is a stool softener commonly prescribed to alleviate constipation, particularly in patients taking opioid pain medications, which often cause constipation as a side effect. When educating a client about docusate sodium, it's essential to provide accurate information about its onset of action and expected effects.
A. "I can take this medication along with mineral oil."
This statement indicates a misunderstanding of the teaching. Combining docusate sodium with mineral oil is not recommended because mineral oil can interfere with the absorption of fat-soluble vitamins and may diminish the effectiveness of docusate sodium.
B. "I should drink 4 ounces of water when I take the medication."
Although it's important to stay hydrated when taking docusate sodium, there isn't typically a specific volume of water recommended for each dose. While hydration can aid in the effectiveness of the medication, this statement doesn't directly address the expected action of docusate sodium.
C. "It might take up to 3 days for the medication to work."
This statement demonstrates an understanding of the teaching. Docusate sodium may take a few days to produce a noticeable effect on bowel movements. Understanding this timeline helps manage the client's expectations and prevents premature discontinuation of the medication due to perceived lack of efficacy.
D. "I will take the medication for diarrhea."
Docusate sodium is not indicated for the treatment of diarrhea. It is specifically used as a stool softener to alleviate constipation by promoting easier passage of stool. This statement indicates a misunderstanding of the intended use of the medication.
Correct Answer is C
Explanation
A. always has a religious connotation: This statement is incorrect. While spirituality can be intertwined with religion for many individuals, it does not always have a religious connotation. Spirituality encompasses a broader sense of connection to something greater than oneself, which may or may not be associated with organized religion.
B. is a narrower concept than religion: This statement is incorrect. Spirituality is often considered a broader concept than religion. While religion typically involves organized beliefs, rituals, and practices within a specific faith tradition, spirituality encompasses a wider range of experiences, beliefs, and practices that relate to the search for meaning, purpose, and connection to the transcendent.
C. does not necessarily include religion: This statement is correct. Spirituality can exist independently of religion. While religion often involves spirituality, spirituality can encompass a wide range of beliefs, experiences, and practices that may or may not be connected to organized religion. Individuals can experience spirituality through various means such as nature, relationships, art, meditation, and personal reflection, regardless of religious affiliation.
D. has been created by humans to define ethical conduct: This statement is incorrect. Spirituality is not solely created by humans to define ethical conduct. While ethical principles and values may be part of spiritual beliefs for many individuals, spirituality encompasses broader aspects of human experience, including the search for meaning, connection, and transcendence, which extend beyond ethical conduct.
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