Question 1

A tap-water enema is ordered for a client.The amount of fluid the nurse is most likely to administer is

Accepted Answer

A) 250-300 mL. 
B) 300-500 mL. 
C) 500-750 mL. 
D) 750-1000 mL. 
A) 250-300 mL. 
B) 300-500 mL. 
C) 500-750 mL. 
D) 750-1000 mL.

Question 2

When assessing a client's stoma,the nurse notices it appears dark and dusky colored.The initial intervention is to

Accepted Answer

A) Do nothing,as this is normal. 
B) Document findings and continue to assess the stoma. 
C) Replace the pouch with a different type,as this is an allergic reaction. 
D) Notify the physician that the stoma is not receiving adequate oxygen supply. 
A) Do nothing,as this is normal. 
B) Document findings and continue to assess the stoma. 
C) Replace the pouch with a different type,as this is an allergic reaction. 
D) Notify the physician that the stoma is not receiving adequate oxygen supply.

Question 3

Select the statement that best describes changes in motility.

Accepted Answer

A) Hypomotility is caused by direct stimulation or irritation of the autonomic nervous system. 
B) Parasympathetic nervous system stimulation results in constipation. 
C) Hypermotility can result from infectious agents. 
D) Antihypertensive drugs cause constipation because of parasympathetic stimulation. 
A) Hypomotility is caused by direct stimulation or irritation of the autonomic nervous system. 
B) Parasympathetic nervous system stimulation results in constipation. 
C) Hypermotility can result from infectious agents. 
D) Antihypertensive drugs cause constipation because of parasympathetic stimulation.

Question 4

The priority intervention after discontinuing the procedure for a client who exhibits signs and symptoms of a vagal response during removal of a fecal impaction is:

Accepted Answer

A) Place client in shock position. 
B) Take BP and pulse and report findings to physician. 
C) Instruct client to perform Valsalva maneuver. 
D) Call for code team. 
A) Place client in shock position. 
B) Take BP and pulse and report findings to physician. 
C) Instruct client to perform Valsalva maneuver. 
D) Call for code team.

Question 5

Rectal tubes are left in place no longer than ________ minutes.

Accepted Answer

The answer of Rectal tubes are left in place no...

Question 6

After administering a tap-water enema,the solution was not returned.Which of the following interventions could be helpful in expelling the solution?

Accepted Answer

A) Gently massage the client's abdomen. 
B) Instruct the client to turn side-to-side. 
C) Replace the rectal tube and lower the bag below bed level. 
D) Administer a stronger enema solution,such as soap suds. 
A) Gently massage the client's abdomen. 
B) Instruct the client to turn side-to-side. 
C) Replace the rectal tube and lower the bag below bed level. 
D) Administer a stronger enema solution,such as soap suds.

Question 7

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. 
-Chart the enema procedure described in the clinical situation.

Accepted Answer

120 mL Fleet's enema given.App

A tap-water enema is ordered for a client.The amount of fluid the nurse is most likely to administer is

When assessing a client's stoma,the nurse notices it appears dark and dusky colored.The initial intervention is to

Select the statement that best describes changes in motility.

The priority intervention after discontinuing the procedure for a client who exhibits signs and symptoms of a vagal response during removal of a fecal impaction is:

Rectal tubes are left in place no longer than ________ minutes.

After administering a tap-water enema,the solution was not returned.Which of the following interventions could be helpful in expelling the solution?

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

Filters

Exam 23: Bowel Elimination

A tap-water enema is ordered for a client.The amount of fluid the nurse is most likely to administer is

When assessing a client's stoma,the nurse notices it appears dark and dusky colored.The initial intervention is to

Select the statement that best describes changes in motility.

The priority intervention after discontinuing the procedure for a client who exhibits signs and symptoms of a vagal response during removal of a fecal impaction is:

Rectal tubes are left in place no longer than ________ minutes.

After administering a tap-water enema,the solution was not returned.Which of the following interventions could be helpful in expelling the solution?

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

Filters