ATI LPN
Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 30 : Bowel Elimination and Care Questions
Question 1 of 5
A female patient is recovering from abdominal surgery 2 days ago. Her abdomen is distended and firm, and she complains of moderate to severe cramping and abdominal discomfort. As of yet, she has been unable to pass much flatus rectally. Which type of enema would be most helpful to this patient?
Correct Answer: C
Rationale: A Harris flush enema is effective for relieving gas and distention by promoting flatus expulsion.
Question 2 of 5
Which of the following signs and symptoms may be an indication of vagal stimulation during the digital removal of an impaction?
Correct Answer: B,F
Rationale: Vagal stimulation can cause bradycardia (pulse 42 bpm) and syncope (feeling faint) due to vagus nerve activation.
Question 3 of 5
What of the following would be the best enema to administer to a patient before digital removal of an impaction?
Correct Answer: B
Rationale: An oil retention enema softens the fecal mass, facilitating easier and safer digital removal of an impaction.
Question 4 of 5
Which of the following factors is most likely to result in diarrhea?
Correct Answer: A,D
Rationale: Loss of normal flora (e.g., from antibiotics) and surgical manipulation can disrupt bowel function, leading to diarrhea.
Question 5 of 5
The patient is to receive a cleansing enema for relief of constipation. Which of the following factors must be assessed prior to administration of the enema?
Correct Answer: B,D
Rationale: Assessing the last bowel movement and bowel sounds ensures the enema is appropriate and safe for the patient.