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?
A) Place the patient in the dorsal recumbent position on a bedpan.
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?
return flow
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?
At least 30 min, but preferably as long as he can
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?
A) Warm the enema solution prior to instillation
A nurse is preparing an older adult patient for an enema. The nurseshould assist the patient to which of the following positions?
Left lateral with right leg flexed
While a nurse is administering a cleansing enema, the patient reports abdominal cramping. Which of the following is the appropriate intervention?
Lower the enema fluid container
A nurse who is administering a return-flow enema to a patient should instill 100 mL of enema fluid and then
lower the container to allow the solution to flow back out
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:
C) 7.5cm-10cm (3-4in)
anal sphincter
either of two circular muscles (internal and external) that open and close to control evacuation of feces (stool) through the anusanorectal
constipation
hardened stool that is difficult to eliminate and associated with infrequent bowel movements, discomfort, and excessive straining
anorectal
pertaining to the area of the rectum, the distal portion of the large intestine between the sigmoid colon and the anus, and the anus, the opening of the rectum on the body surface
cathartic
an agent that causes emptying of the bowels, generally considered to be stronger than a laxative
colon
the long central part of the large intestine, extending from the cecum to the rectum and comprised of the ascending colon, the transverse colon, the descending colon, and the sigmoid colon
distention
the state of being stretched out or enlarged
descending colon
the portion of the colon between the splenic flexure and the sigmoid colon
defecation
excretion (elimination) of solid waste
laxative
a general classification of a food or chemical substance used to prevent or treat constipation by promoting defecation
enema
introduction of fluid into the rectum to evacuate the bowels, introduce a contrast agent, or provide nutrition or medication
feces
solid waste eliminated from the intestines through the anus; stool
fecal impaction
a collection of hardened feces (stool) in the rectum or sigmoid colon that cannot be expelled naturally
suppository
a solid, dissolvable cone-shaped medication preparation inserted into the rectum, vagina, or urethra
flatulence
excessive formation of gases in the stomach or intestine
obstipation
intractable constipation
stool
solid waste eliminated from the intestines through the anus; fecal matter
occult blood
blood present in such small amounts as to be detectable only by specific diagnostic tests
sigmoid fissure
a break, slit, or tear in soft tissue in the sigmoid colon, the portion of the large intestine between the descending colon and the rectum
rectal
pertaining to the rectum, the distal portion of the large intestine between the sigmoid colon and the anus