Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Week 12 Proctored
Week 12 Proctored Bowel Elimination/Ostomy Care Foundations class
| Question | Answer |
|---|---|
| From the following, choose the four primary functions of the colon. (Select all that apply). | - Protection - Secretion - Absorption - Elimination |
| From the following, choose the correct equipment to bring to the bedside to administer the commercially prepared Fleet enema. (Select all that apply). | - Commercially prepared enema product - Toilet paper and/or basin with warm water, washcloth, and towel. -Waterproof bed pad - Clean disposable gloves - Water-soluble lubricant |
| The nurse listens for bowel sounds before administering an enema. The patient asks, "Why are you listening to my abdomen?" The nurse's accurate response is: | "To determine the presence of bowel sounds, which indicates the intestines are working." |
| To which of the following patients would it be considered acceptable to administer an enema without the nurse needing to question the order? | A patient who is going to have abdominal surgery. |
| A nurse is preparing to administer an enema. Which of the following actions indicates correct understanding? | The nurse holds the tubing in the patient's rectum constantly until the end of fluid instillation. |
| The nurse is reviewing enema administration with nursing assistive personnel (NAP). Which of the following statements by the NAP indicates further instruction is necessary? | "The rectal tube of an enema should be inserted 5 to 7.5 cm (2 to 3 inches) into the rectum of an adolescent." |
| Which of the following would be considered a normal finding after the administration and evacuation of an enema? | Abdominal distention is absent. |
| The patient is complaining of cramping during instillation of the enema solution. What is the most appropriate action by the nurse? | Lower the height of the enema container or clamp the tubing. |
| Which of the following is considered a sterile procedure and therefore requires sterile gloves? | None of the above |
| The nurse understands the important role in helping the patient with an ostomy accept their change in self-image. Which of the following indicates the patient is having difficulty with this change in body image? | The patient continues to rely on the nurse to change the ostomy pouch. |
| How often should an ostomy pouch be changed? | Every 3-7 days |
| The nurse is pouching a new ostomy. The patient asks why the nurse always measures the size of the stoma, stating, "Don't you remember how large to cut the opening?" Which of the following would be an inaccurate response by the nurse and would require cor | "The stoma typically increases in size with the passage of time. |
| Which of the following would be inappropriate to delegate to NAP? | Pouching a newly established ostomy. |
| The NAP tells the nurse she doesn't want to care for a certain patient because she is afraid of contacting C. difficile. Which is the best response by the nurse? | "Good hand hygiene with soap and water is your best defense against C. difficile." |
Created by:
Brandi Sizemore
Popular Nursing sets