Which teaching would the nurse provide to a patient about the use of enemas Quizlet
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What are the four steps of the SBAR communication technique? Show a) Scenario, Basics, Analysis, and Reaction a. Heart disease Because of the potential to stimulate the vagus nerve, patients with a history of dysrhythmia or heart disease are at greater risk for changes in heart rhythm. Be sure to monitor the patient's pulse before and during the procedure. This procedure may be contraindicated in cardiac patients; if in doubt, verify with the physician. Symptoms of fecal impaction include constipation, rectal discomfort, anorexia, nausea, vomiting, abdominal pain, diarrhea (around the impacted stool), and urinary frequency. Abdominal pain by itself is not indicative of the need for extra caution. Symptoms of fecal impaction include urinary frequency, not infection. There is no correlation between the two. Upgrade to remove ads Only SGD 41.99/year
Terms in this set (57)Which assessment finding does the nurse associate with a problem with bowel elimination? A bowel movement every 5 days The nurse is teaching a patient about healthy bowel habits and includes which information? Dietary fiber should be an essential component of the diet Fluid intake should be at least six to eight glasses of water per day Stress management techniques should be practiced Which statement about fecal incontinence is correct? It is the inability to control the passage of feces and gas from the anus. Which medication may cause constipation? opioid analgesics The nurse reviews types of enemas and determines that a hypertonic solution enema is most appropriate for which patient? A patient who cannot tolerate a large volume of fluid The nurse reviews the care of four patients and determines that which patient has the highest risk of constipation? A patient who is taking opioid analgesics A patient who has malabsorption syndrome asks the nurse about the process of nutrient absorption. Which response would the nurse give the patient? The ileum absorbs fats and bile salts The jejunum absorbs carbohydrates and proteins Nutrients are absorbed into the blood vessels Which part of the gastrointestinal tract plays a major role in bowel elimination? Large intestine Which medication may be used to promote defecation? Laxatives After performing a physical assessment of a patient with altered bowel elimination, a nurse suspects that the patient has an obstruction of the small intestine. Which finding supports the nurse's suspicion? High-pitched and hyperactive bowel sounds on auscultation of the abdomen A patient reports to the nurse, "Every time that I eat ice cream, I experience diarrhea and cramping." The nurse suspects which condition? Lactose intolerance Which information is true about the large intestine? It is shorter than the small intestine It has a role in the elimination function It can develop hemorrhoids Where does normal defecation begin? colon Which bowel elimination problem is associated with abdominal fullness, cramping, distention, and severe, sharp pain? Flatulence Which condition may be caused by frequent straining during defecation? hemorrhoids The nurse is caring for a patient who has a colostomy. When assessing the stoma, which color indicates that the stoma is healthy? Pink Red When mucus is noted in a patient's feces, the nurse suspects which cause? Intestinal infection The nurse observes the presence of a tympanic note when percussing the abdomen of a patient and suspects which cause? Gas What is the recommended daily fluid intake for men? 3.7l Which substance may cause complications for a patient who has kidney dysfunction? Magnesium hydroxide Which bowel elimination problem is most likely the result of improper diet, reduced fluid intake, and lack of exercise? Constipation Upon auscultating the abdomen of a patient with a stethoscope, the nurse hears high-pitched and hyperactive bowel sounds. The nurse identifies that the assessment findings correspond with which condition? Small intestine obstruction A cleansing enema is prescribed for an adult patient before intestinal surgery. What is the maximum amount of fluid the nurse should give? 750ml to 1000ml During a home health visit after a patient's recent surgery, the nurse assesses that a patient is experiencing acute pain related to constipation. The nurse reviews the potential causes of the pain and recognizes that the patient is at risk of intestinal obstruction if which condition is unresolved? Fecal impaction A parent tells the nurse, "My infant who is breastfed passes stools an average of 5 times per day." How does the nurse respond? This is a normal finding for the infant Which type of laxative acts by causing the stool to absorb water and swell? Bulk-forming Which event may occur because of vagus nerve stimulation during removal of a fecal impaction? Bradycardia A patient reports passing clay-colored stools. Which condition does the nurse suspect? Absence of bile A patient reports a noxious change in odor while defecating. What is most likely to be the cause of this? Blood in feces The nurse gives a patient an enema using a prepackaged disposable container. Why would the nurse expel air from the enema container before inserting the tip into the patient's rectum? To minimize distention and discomfort in the colon A patient has been diagnosed with malabsorption of fat from the intestine. The nurse anticipates that the patient's stool will have which appearance? Pale and oily When collecting a stool specimen for an occult blood laboratory test, the nurse follows which procedure? A 3-cm (1-inch) mass of formed stool is an adequate sample size for this test A nursing student reviews the steps to be performed during a magnetic resonance imaging (MRI) procedure. Which statement by the student indicates effective learning? The patient should be screened for metal Which antidiarrheal agent is most commonly used? Diphenoxylate with atropine Which agent is osmotic and used to treat constipation? Sodium phosphate Which diagnostic test uses direct visualization of the gastrointestinal tract? Endoscopy How many seconds between consecutive bowel sounds is a normal finding? 12 seconds The nurse provides education for a nursing student about laxatives and cathartics. Which statement by the student indicates effective learning? Suppositories usually start acting within 30 minutes of application A patient reports increased gas formation and flatus upon first starting a laxative regimen. The nurse informs the patient that this effect will subside after 4 or 5 days. Which laxative has the patient been prescribed? Bulk-forming When caring for a patient with hemorrhoids, the nurse establishes which primary treatment goal? To have soft-formed stools The nurse is educating a middle-aged patient about the screening guidelines for the early detection of colorectal cancer in average-risk asymptomatic people as specified by the American Cancer Society. At which frequency would the nurse advise the patient to get a DNA stool test? Every 3 years, starting at age 45 What is the mode of action of emollient laxatives? Lowering the surface tension of feces Which information about tap-water enemas is true? Should be repeated with caution The nurse cares for an infant in the neonatal unit who is being breastfed. How often should the infant pass stools? 6 times a day A patient is admitted for lower gastrointestinal (GI) bleeding. Which color of stool would the nurse anticipate the patient to have?
Red The nurse provides care for a patient who reports constipation. Which food item does the nurse recommend for the patient to include in the diet to relieve the condition? Fresh fruits Legumes Whole grains Vegetables The nurse cares for a patient with a nasogastric tube for gastric decompression in place. Which action does the nurse include in the plan of care to prevent adverse effects related to the tube? Irrigate the tube with saline. Administer frequent oral hygiene. Measure the length of the exposed tube. Measure the pH of the aspirated tube contents. Frequently lubricate the nares to minimize discomfort. Chronologically arrange the steps for assisting a patient on a bedpan. Assess the patient's level of mobility. Asses the patient's level of comfort. Apply clean gloves. Close the room curtain for privacy. Raise the bed to a comfortable working height. Fold back the top linen to the patient's knees. The nurse observes a caregiver administering an enema to a patient who is scheduled for a colonoscopy. The nurse intervenes when the caregiver takes which action? Gives the enema with the patient sitting on the toilet Which use is true of an enema? Immediate relief of constipation Beginning a program of bowel training Emptying the bowel before diagnostic tests or surgery The nurse provides care for a patient with diarrhea and expects the health care provider to prescribe which medication? Diphenoxylate with atropine Which statement is true regarding the bowel preparation associated with magnetic resonance imaging (MRI)? No food or fluids are given orally 4 to 6 hours before the examination. The nurse cares for a patient who is scheduled to receive a saline-based agent. Based on this prescription, which inference does the nurse make? The patient is scheduled for an endoscopic examination the next day. Which laxative is most likely to be used in a patient who experiences constipation caused by frequent opioid use? Castor oil While administering an enema to a patient, the nurse notes blood in the return fluid and rectal bleeding. Which action does the nurse take? Stop the instillation and obtain vital signs. The nurse is educating the caregiver of a patient who has undergone an antegrade continence enema procedure. Which statement by the caregiver indicates effective learning? "After this procedure, I can easily insert a tube and give the patient an enema that comes out through the anus." During a history intake assessment, a patient describes stools as soft and smooth like a sausage. According to the Bristol Stool Form Scale, which classification is appropriate for these stools? Type 4 Students also viewedRNRS 117- Bowel Elimination Sherpath (Exam II)42 terms Cara_Heller26 Bowel Elimination50 terms laurennh34 Foundations Chapter 47 Bowel Elimination90 terms smashpeas123 3:2121 terms marilee148 Sets found in the same folderCh 46 Bowel Elimination Practice25 terms sonoflight Chapter 46: Urinary Elimination (Nursing Skills Re…19 terms annasan143 Adaptive Quiz Urinary Elimination and the Nursing…18 terms dovesalome Ch 46 Urinary Elimination and Nursing Process67 terms wangotango Other sets by this creatorCancer Biomarkers12 terms mfamilia Diabetic meds26 terms mfamilia Electrolytes39 terms mfamilia IV Solutions18 terms mfamilia Recommended textbook solutionsPharmacology and the Nursing Process7th EditionJulie S Snyder, Linda Lilley, Shelly Collins 388 solutions
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What is the nursing responsibilities of enema?The administration of an enema should be undertaken by a competent nurse. An enema is a liquid preparation inserted into the rectum. The nurse must explain the procedure to the patient and should assist the individual before, during and after the procedure. The nurse should document all care given.
Which is an appropriate intervention when giving an enema?Use a warmed solution—not hot or cold water—when providing an enema. To avoid rapid instillation of fluid, do not raise an enema container too high. Lower the container or clamp the tubing if the patient complains of cramping or if fluid escapes around the rectal tube. If the tube does not pass easily, do not force it.
What is the purpose of an enema quizlet?these are given to remove feces from the colon commonly to relieve constipation or fecal impaction, prevent involuntary escape of fecal material during surgical procedures, promote visualization of the intentional tract by radiographic or instrument examination, and help establish regular bowel function during a bowel ...
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