Question 1

When administering an enema,the nurse follows which one of the following nursing actions?

Accepted Answer

A) Warm the enema solution to 99°F. 
B) Insert the enema tube 6-8 inches into the rectum. 
C) Instill 100-200 mL solution slowly. 
D) Raise the enema container to a height of 18 inches. 
A) Warm the enema solution to 99°F. 
B) Insert the enema tube 6-8 inches into the rectum. 
C) Instill 100-200 mL solution slowly. 
D) Raise the enema container to a height of 18 inches. D

Question 2

The only major difference in administering an enema and in irrigating a colostomy is
.

Accepted Answer

You use a cone and insert it 2-4 inches in a stoma.Otherwise,water temperature,amount of solution,and so on,are the same.

Question 3

The BMS is maintained throughout catheter insertion by:

Accepted Answer

A) Maintaining the free flow of stool by constant irrigation of the catheter through the flush/sampling port. 
B) Keeping the BMS system positioned above level of anus at all times to promote drainage of stool. 
C) Checking retention cuff daily by aspirating all fluid from retention cuff. 
D) Checking BMS every 2 hours to ensure it is not occluded. 
A) Maintaining the free flow of stool by constant irrigation of the catheter through the flush/sampling port. 
B) Keeping the BMS system positioned above level of anus at all times to promote drainage of stool. 
C) Checking retention cuff daily by aspirating all fluid from retention cuff. 
D) Checking BMS every 2 hours to ensure it is not occluded. D

Question 4

One major difference between a colostomy and ileostomy is

Accepted Answer

A) An ileostomy is the result of long-standing history of diverticulitis. 
B) A colostomy produces a semiliquid effluent. 
C) Clients with an ileostomy require a greater fluid intake. 
D) A colostomy client never has an irrigation performed. 
A) An ileostomy is the result of long-standing history of diverticulitis. 
B) A colostomy produces a semiliquid effluent. 
C) Clients with an ileostomy require a greater fluid intake. 
D) A colostomy client never has an irrigation performed.

Question 5

Match the action of the enema in correct with the type of enema.
-Carminative

Accepted Answer

A) Promotes expulsion of flatus 
B) Draws fluid into colon from body tissue 
C) Stimulates and irritates intestinal mucosa 
D) Lubricates and softens feces 
A) Promotes expulsion of flatus 
B) Draws fluid into colon from body tissue 
C) Stimulates and irritates intestinal mucosa 
D) Lubricates and softens feces

Question 6

The purpose of administering a return flow enema is to

Accepted Answer

A) Stimulate peristalsis and expel flatus. 
B) Soften stool for easier evacuation. 
C) Decrease bowel motility and prevent flatus formation. 
D) Cleanse the lower colon to facilitate x-ray studies. 
A) Stimulate peristalsis and expel flatus. 
B) Soften stool for easier evacuation. 
C) Decrease bowel motility and prevent flatus formation. 
D) Cleanse the lower colon to facilitate x-ray studies.

Question 7

Normal bowel function is based on the client having which of the following? (select all that apply)

Accepted Answer

A) Functioning muscles and nerves. 
B) Diet high in fiber. 
C) Age. 
D) Physical therapy. 
A) Functioning muscles and nerves. 
B) Diet high in fiber. 
C) Age. 
D) Physical therapy.

Question 8

The inflow-outflow process for the return flow enema is usually

Accepted Answer

A) Until return fluid is clear. 
B) Five to six times. 
C) Until stool is evacuated. 
D) Until flatus has subsided. 
A) Until return fluid is clear. 
B) Five to six times. 
C) Until stool is evacuated. 
D) Until flatus has subsided.

Question 9

Tests frequently used to determine the cause of fecal incontinence includes

Accepted Answer

A) Ultrasound,proctoscopy,stool specimen analysis. 
B) Electromyography,colonoscopy,MRI. 
C) Barium enema,upper GI study. 
D) Ultrasound,colonoscopy. 
A) Ultrasound,proctoscopy,stool specimen analysis. 
B) Electromyography,colonoscopy,MRI. 
C) Barium enema,upper GI study. 
D) Ultrasound,colonoscopy.

Question 10

State the two major activities to prepare the clean fecal pouch for application.
a.----------
b.---------

Accepted Answer

a.Measure the stoma

Question 11

When administering an enema to a child rather than an adult,the major difference is to

Accepted Answer

A) Insert the enema tube 2-3 inches. 
B) Instill 50-100 mL of solution. 
C) Instill solution from a height of 6 inches. 
D) Place the child on his or her right side. 
A) Insert the enema tube 2-3 inches. 
B) Instill 50-100 mL of solution. 
C) Instill solution from a height of 6 inches. 
D) Place the child on his or her right side.

Question 12

Clinical Situation: You administer a Fleet’s enema to a client who expels only about half of the solution with small flecks of brown stool returned with the solution. The client states she needs another enema because she does not feel as though she has emptied her bowel completely. 
-To provide a more effective result if a repeat enema is ordered,the nurse instructs the client to

Accepted Answer

A) Use a bedpan for expulsion. 
B) Hold the enema solution for 7 minutes. 
C) Remain on her right side for 10 minutes. 
D) Insert tip of enema tube at least 6 inches. 
A) Use a bedpan for expulsion. 
B) Hold the enema solution for 7 minutes. 
C) Remain on her right side for 10 minutes. 
D) Insert tip of enema tube at least 6 inches.

Question 13

Which of the following situations are considered a contraindication to the use of a Bowel Management system (BMS).
(Select all that apply)

Accepted Answer

A) Severe strictures of distal return. 
B) Presence of impacted of formed stool. 
C) History of loose stools. 
D) Compromised rectal wall integrity. 
A) Severe strictures of distal return. 
B) Presence of impacted of formed stool. 
C) History of loose stools. 
D) Compromised rectal wall integrity.

Question 14

Match between columns
                        Premises: Soap suds
Carminative
Saline

Accepted Answer

The Answer of Draws fluid into colon from body tissue is...

Question 15

Match the action of the enema in correct with the type of enema.
-Saline

Accepted Answer

A) Promotes expulsion of flatus 
B) Draws fluid into colon from body tissue 
C) Stimulates and irritates intestinal mucosa 
D) Lubricates and softens feces 
A) Promotes expulsion of flatus 
B) Draws fluid into colon from body tissue 
C) Stimulates and irritates intestinal mucosa 
D) Lubricates and softens feces

Question 16

Interventions to prevent constipation in the older adult include

Accepted Answer

A) Instruct client to use a mild laxative daily. 
B) Maintain fluid intake of 1000 mL/day. 
C) Instruct client to perform physical activity based on his/her ability. 
D) Encourage 6 small feedings daily to stimulate GI motility and prevent constipation. 
A) Instruct client to use a mild laxative daily. 
B) Maintain fluid intake of 1000 mL/day. 
C) Instruct client to perform physical activity based on his/her ability. 
D) Encourage 6 small feedings daily to stimulate GI motility and prevent constipation.

Question 17

Which one of the following interventions assists in effective bowel evacuation?

Accepted Answer

A) Include more complex carbohydrates in the diet. 
B) Administer bulk-forming medications. 
C) Administer bowel training program before meals. 
D) Maintain fluid intake at 2000 mL/day. 
A) Include more complex carbohydrates in the diet. 
B) Administer bulk-forming medications. 
C) Administer bowel training program before meals. 
D) Maintain fluid intake at 2000 mL/day.

Question 18

Match the action of the enema in correct with the type of enema.
-Soap suds

Accepted Answer

A) Promotes expulsion of flatus 
B) Draws fluid into colon from body tissue 
C) Stimulates and irritates intestinal mucosa 
D) Lubricates and softens feces 
A) Promotes expulsion of flatus 
B) Draws fluid into colon from body tissue 
C) Stimulates and irritates intestinal mucosa 
D) Lubricates and softens feces

Question 19

What is the role of pancreatic juices in digestion?

Accepted Answer

Break down proteins

Question 20

Describe the major reason for washing the area surrounding the stoma with warm water.

Accepted Answer

To prepare for appli

Exam 23: Bowel Elimination

When administering an enema,the nurse follows which one of the following nursing actions?

The only major difference in administering an enema and in irrigating a colostomy is .

The BMS is maintained throughout catheter insertion by:

One major difference between a colostomy and ileostomy is

Match the action of the enema in correct with the type of enema. -Carminative

The purpose of administering a return flow enema is to

Normal bowel function is based on the client having which of the following? (select all that apply)

The inflow-outflow process for the return flow enema is usually

Tests frequently used to determine the cause of fecal incontinence includes

State the two major activities to prepare the clean fecal pouch for application. a.---------- b.---------

When administering an enema to a child rather than an adult,the major difference is to

Which of the following situations are considered a contraindication to the use of a Bowel Management system (BMS). (Select all that apply)

Match the action of the enema in correct with the type of enema. -Saline

Interventions to prevent constipation in the older adult include

Which one of the following interventions assists in effective bowel evacuation?

Match the action of the enema in correct with the type of enema. -Soap suds

What is the role of pancreatic juices in digestion?

Describe the major reason for washing the area surrounding the stoma with warm water.

Professional Nursing

Nursing Process and Critical Thinking

Managing Client Care: Documentation and Delegation

Communication and Nurse-Client Relationship

Admission, Transfer, and Discharge

Client Education and Discharge Planning

Safe Client Environment and Restraints

Bathing, Bedmaking, and Maintaining Skin Integrity

Personal Hygiene

Vital Signs

Physical Assessment

Body Mechanics and Positioning

Exercise and Ambulation

Infection Control

Disaster Preparedness Bioterrorism

Pain Management

Alternative Therapies and Stress Management

Medication Administration

Nutritional Management and Ng Intubation

Specimen Collection

Diagnostic Procedures

Urinary Elimination

Heat and Cold Therapies

Wound Care and Dressings

Perioperative Care

Orthopedic Interventions

Intravenous Therapy

Central Vascular Access

Respiratory Care

Circulatory Maintenance

Neurological Management - New

Advanced Nursing Skills

End of Life Care

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