A nurse is monitoring bowel elimination of a patient who has a history of constipation. The nurse implements measures to assist with bowel elimination if the patient has not had a bowel movement what would be the BEST option to try first?
Stool softener
Soap suds enema
Suppository
Mineral oil enema
The Correct Answer is A
Choice A: A stool softener is the best option to try first for a patient with constipation as it helps to soften the stool, making it easier to pass.
Choice B: Soap suds enemas are used to promote bowel movements, but they are more invasive and can cause discomfort. Stool softeners should be tried before resorting to enemas.
Choice C : Suppositories can also help with constipation, but they are generally not the first option to try. Stool softeners are milder and more suitable initially.
Choice D: While mineral oil enemas can provide lubrication to facilitate bowel movements, stool softeners are generally preferred for their milder action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A : The descending colon is the portion of the colon where stool becomes more formed as water is absorbed, leading to the gradual solidification of stool.
Choice B The transverse colon is responsible for further water absorption, but stool is still relatively less formed compared to the descending colon.
Choice C There is no segment called "oblique colon." It might be a typographical error.
Choice D The ascending colon is the initial part of the colon where undigested food enters, and stool is relatively less formed compared to the descending colon.
Correct Answer is A
Explanation
A. When the left descending colon and rectum are removed, a colostomy is typically created. This involves bringing the proximal end of the remaining colon to the surface of the abdomen to create a stoma. The colostomy allows the rest of the bowel to heal and function normally.
B.A continent ostomy involves creating an internal reservoir with a valve, allowing the patient to control the evacuation of intestinal contents. This option is less common and usually associated with continent ileostomies rather than temporary diversions to rest a portion of the colon.
C. A Kock pouch is a type of continent ileostomy where an internal reservoir is created from the ileum, and the patient can empty the reservoir with a catheter. This is not typically used as a diversion for healing purposes involving the colon.
D.An ileostomy involves bringing the end of the ileum (the last part of the small intestine) to the surface of the abdomen to create a stoma. Given that the left descending colon and rectum were removed, this procedure is unlikely unless the entire colon is bypassed or removed, which is not specified in this scenario.
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