Your patient is supposed to get a tap water enema. What medical diagnosis would NOT qualify him for this procedure?
Pneumonia
Edema or Excess Fluid Volume
Hypertension
Diabetes Melitus
The Correct Answer is B
Choice A Pneumonia is not a contraindication for a tap water enema.
Choice B A tap water enema is not recommended for patients with edema or excess fluid volume due to the risk of further fluid overload.
Choice C Hypertension is not a contraindication for a tap water enema unless the patient has other cardiovascular conditions that could be exacerbated by the procedure.
Choice D Diabetes mellitus is not a contraindication for a tap water enema. However, patients with diabetes may need careful monitoring during the procedure due to potential glucose
fluctuations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: Bright red stool can be caused by various factors, including the consumption of certain foods, medications, or gastrointestinal bleeding. Stress can lead to changes in bowel movements and might cause bright red stool due to increased gastrointestinal motility.
Choice B: While it's essential to reassure the patient, dismissing their concern without further assessment is not appropriate. The nurse should still investigate the potential causes of bright red stool.
Choice C: Jumping to conclusions and ordering immediate tests without further assessment is not the best approach. Before taking any action, the nurse should gather more information and assess other possible causes.
Choice D: Suggesting a colonoscopy as the first step is not necessary for every case of bright red stool. Further assessment is needed to determine the cause before resorting to such an invasive procedure.
Correct Answer is D
Explanation
Choice A Changing the faceplate every 3 to 5 days might be necessary for some individuals with specific needs, but it is not the typical frequency for most colostomy patients.
Choice B Changing the faceplate every 1 to 3 days is too frequent for most colostomy patients and might lead to unnecessary waste and discomfort.
Choice C Changing the faceplate every 2 to 3 days is still relatively frequent and might not be necessary for most colostomy patients.
Choice D Changing the faceplate every 4 to 7 days is the usual recommendation for colostomy patients, as it allows for sufficient wear time while minimizing the frequency of changes.
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