ATI - Enema

24 July 2022
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8 test answers

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question
A nurse who is administering a return-flow enema to a patient should instill 100 mL of enema fluid and then
answer
lower the container to allow the solution to flow back out
question
While a nurse is administering a cleansing enema, the patient reports abdominal cramping. Which of the following is the appropriate intervention?
answer
Lower the enema fluid container.
question
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
answer
7.5 cm to 10 cm (3 to 4 in).
question
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?
answer
return-flow
question
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?
answer
Place the patient in the dorsal recumbent position on a bedpan.
question
A nurse is preparing to administer an oil-retention enema to a patient who has constipation. The nurse explains that the patient should try to retain the instilled oil for
answer
at least 30 min, but preferably as long as he can.
question
A nurse is preparing an older adult patient for an enema. The nurse should assist the patient to which of the following positions?
answer
Left lateral with the right leg flexed
question
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?
answer
Warm the enema solution prior to instillation.