Fun NCLEX questions
Which of the following is an appropriate nursing action to promote regular bowel habits?
a. Encourage the patient to avoid moving
... [Show More] his bowels until a certain time of day
b. Encourage the patient to avoid excess fluid intake and too much fiber
c. Avoid strenuous exercise to limit stress on the abdominal muscles and impair peristalsis
d. Assisting the patient to a normal position as possible to defecate - correct answer Answer: D
Rationale: Sitting upright on a toilet or commode promotes defecation. If the patient must use a bedpan, raise the head of the bed 30 to 45°. Patient should be encouraged to move their bowels at their usual time of the day. However, the patient should not be encouraged to put off defecation if the urge arises before or after their usual time. Patient should be encouraged to consume 2000 to 3000 mL of fluid, preferably water, and increase fiber, to promote regular defecation. Regular exercise improves gastrointestinal activities and aids in defecation
A nurse is administering a large-volume cleansing enema to a patient prior to surgery. Once the enema solution is introduced, the patient complains of severe cramping. What would be the appropriate nursing intervention in this situation?
a. Elevate the head of the bed 30 degrees and reposition the rectal tube.
b. Place the patient in a supine position and modify the amount of solution.
c. Lower the solution container and check the temperature and flow rate.\
d. Remove the rectal tube and notify the primary care provider. - correct answer Answer: C
Rationale: If the patient is experiencing cramping, it is important to slow down the amount of fluid entering the patient and assess.
A nurse is preparing to administer the first of two large column, cleansing enemas prescribed for a patient in preparation for a diagnostic procedure. Which of the following is an appropriate step in the procedure?
a. Warm the enema solution prior to instillation
b. Prepare 1,500mL of enema fluid
c. Use tap water as the enema fluid
d. Hang the enema container 24 inches above the anus - correct answer A
Warming the fluid makes it more comfortable for the client [Show Less]