A) Loosen the clamp a bit to increase the flow rate.
B) Tighten the clamp a bit to decrease the flow rate.
C) Stop the enema and assist the resident to the bedside commode.
D) Assure the resident that pain and cramping are normal with an enema.
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A) To be sure not to come into contact with the stool
B) To decrease the risk of embarrassing the client
C) It will help the results of the test be accurate.
D) It is a facility requirement.
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A) diabetes.
B) heart attack.
C) colon cancer.
D) constipation.
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D
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A) give the client privacy to cry.
B) try to distract the client by talking.
C) pretend that the client isn't crying.
D) report the client's crying to the nurse.
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A) The end of the large intestine
B) The beginning of the large intestine
C) The upper small intestine
D) The lower small intestine
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A) Apply an incontinence brief on the client.
B) Chart incontinence of stool and pericare.
C) Provide more noncaffeinated fluids to drink.
D) Articulate to the nurse that the client is impacted.
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A) Preventing skin breakdown around the stoma
B) Promoting the person's right to have this done on a regular basis
C) Minimizing odor from the fecal matter being collected in the bag
D) Keeping the person from being embarrassed by a full collection bag
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Correct Answer
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A) Keeping the client in bed most of the day
B) Increase usage of prescription pain relievers to relieve abdominal cramping
C) Hearing slowed peristalsis in the intestines
D) Drinking large amounts of liquids
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A) report to the nurse that the resident is constipated.
B) walk with the resident to the dayroom and back.
C) get the resident a glass of fruit juice.
D) insert a rectal tube.
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A) Testing the water temperature 105°F and adds castile soap to the 500 mL water.
B) Hanging the enema bag 20 inches above the anus on an intravenous pole.
C) Applying water-soluble lubricant to the tip and inserting it 3 inches into the rectum.
D) Employing the left Sims position with the upper thigh flexed toward the client's chest.
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A) place the contents of the bedpan into a specimen cup.
B) ask the nurse to come look at the contents of the bedpan.
C) dispose of the stool and then clean and disinfect the bedpan.
D) ask the resident to describe what the stool normally looks like.
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Correct Answer
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A) giving an oil retention enema before removing the impaction with a gloved finger.
B) advising the person to drink plenty of water and eat more fibrous foods.
C) inserting a rectal tube that is left in place until the impaction loosens.
D) beginning a series of soapsuds enemas to lubricate the rectum.
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Correct Answer
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A) touching the outside of the transport bag with a gloved hand.
B) holding the plastic transport bag with an ungloved hand.
C) placing the removed gloves in the unit's waste container.
D) handling the specimen container with a gloved hand.
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Correct Answer
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A) Remove the enema and assist the client to the bathroom.
B) Raise the enema bag so more force may be used to deliver it.
C) Continue with administration and empty the enema bag.
D) Clamp the enema temporarily and ask the client to take deep breaths.
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A) Educate the client on the need to replace lost fluids with noncaffeinated drinks.
B) Use a bedside commode next to the bed so the client may use it when needed.
C) Employ adult incontinent briefs to help in the management of diarrhea.
D) Report the client's experience of diarrhea to the nurse.
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A) Solution that is not the proper temperature can cause complications such as pain, cramping, and, possibly, death.
B) The enema solution will not cleanse the bowel properly if it is not the proper temperature.
C) The person will not be able to hold the enema solution long enough if it is not the proper temperature.
D) The person could develop diarrhea if the enema solution is not the proper temperature.
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Correct Answer
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A) Report the observations to the nurse right away.
B) Establish that this is the dissolving of the suppository.
C) Determine whether this bowel movement is usual.
D) Collect a specimen to be sent to the laboratory.
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A
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A) Insert the lubricated tip 3 to 4 inches without any resistance toward the resident's umbilicus.
B) Stop the procedure and report the observation immediately to the nurse.
C) Double-check if the clamp may be adjusted by the nursing assistant before insertion.
D) Determine whether the bedpan is nearby in case the resident needs it during the administration of the enema.
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Correct Answer
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A) Empty the ostomy bag into a graduate container.
B) Apply paper tape to clean skin around appliance.
C) Collect the supplies and ask the client to do it.
D) Articulate to the nurse the need for additional help.
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D
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A) warm soapy water.
B) deodorant powder.
C) an adhesive solvent.
D) an absorbent gauze pad.
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