8 notecards = 2 pages (4 cards per page)
A nurse is preparing to administer the first of two large volume, cleansing enemas prescribed for a patient in preparation for a diagnostic procedure. Which of the following is an appropriate step in the procedure?
Prepare 1,500 mL of enema fluid.Use tap water as the enema fluid.Hang the enema container 24 inches above the anus.Warm the enema solution prior to instillation.
Warm the enema solution prior the installation.
A nurse is preparing an older adult patient for an enema. The nurse should assist the patient to which of the following positions?
Dorsal recumbentProneRight lateral with both knees at chestLeft lateral with the right leg flexed
Left lateral with the right leg flexed.
A nurse is preparing to administer a cleansing enema to a patient who is prone to fecal incontinence due to poor sphincter control and is unlikely to retain the enema solution. Which of the following interventions is appropriate for this patient?
Instill 200 mL of fluid at 15-min intervals times four.Administer an antidiarrheal medication 3 hr prior to the enema.Administer the enema while the patient sits on the toilet.Place the patient in the dorsal recumbent position on a bedpan.
Place the patient in the dorsal recumbent position on a bedpan.
A nurse is preparing to adminster an oil-retention enema to a patient who has constipation. The nurse explains that the patient should try to retain the instilled oil for
at least 30 min, but preferably as long as he can.until the next time he feels the urge to defecate.as long as it takes to complete the procedure.about 10 to 15 min.
at least 30 min. but preferably as long as he can.
A nurse is administering a cleansing enema, the patient reports abdominal cramping. Which of the following is the appropriate intervention?
Measure the patient's vital signs.Stop the enema instillation.Notify the primary care provider.Lower the enema fluid container.
Lower the enema fluid container.
A nurse who is administering a return-flow enema to a patient should instill 100mL of enema fluid then
wait 5 min and instill another 100 mL of fluid.help the patient to the toilet or bedside commode.instruct the patient to retain the fluid.lower the container to allow the solution to flow back out.
lower the container to allow the solution to flow back out
A patient who is postoperative is experiencing abdominal distention and is having difficulty expelling flatus. The nurse should anticipate receiving an order from the provider for which of the following types of enemas?
A nurse is administering an enema medicated with sodium polystyrene sulfonate (Kayexalate) to an older adult patient who has hyperkalemia. The nurse should insert the tip of the rectal tube
2.5 cm to 3.75 cm (1 to 1.5 in).5 cm to 7.5 cm (2 to 3 in).7.5 cm to 10 cm (3 to 4 in).10 cm to 12.5 cm (4 to 5 in).
7.5cm to 10cm (3 to 4in.)