A nurse is speaking to a patient about his recent bowel movement. He says, "Sometimes my bowel movements are greenish in color. Is that normal?" The nurse replies:

"Large amounts of dairy products can cause your stools to turn green."

"If you take iron tablets, your stools can become greenish."

"Eating green foods such as spinach or green food coloring can cause your stools to have a greenish tint."

"Typically our diet has very little to do with the color of our stools, so you need to tell your physician about it."

Answer and Explanation

The Correct Answer is C

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Correct Answer is B

Explanation

The correct answer is choice b. Insert the tip of the enema tube into the rectum pointing towards the umbilicus.

Choice A rationale:

Giving the enema while the patient sits on the toilet is incorrect because it can cause discomfort and does not allow for proper administration of the enema solution.

Choice B rationale:

Inserting the tip of the enema tube into the rectum pointing towards the umbilicus is correct because it follows the natural curvature of the rectum and colon, ensuring effective delivery of the solution.

Choice C rationale:

Having the patient lie on the right side is incorrect. The left lateral position is typically recommended for enema administration as it allows the solution to flow more easily into the sigmoid colon and descending colon.

Choice D rationale:

Chilling the water to a temperature between 75°F and 85°F is incorrect. The enema solution should be warmed to body temperature (around 99°F to 106°F) to avoid causing cramping or discomfort.

A. In range from 530 bowel sounds per minute B. Less than 5 bowel sounds per minute C. Absent bowel sounds D. Over 30 bowel sounds per minute

Correct Answer is D

Explanation

Choice A This range of bowel sounds is considered normal. Hyperactive bowel sounds refer to an increased frequency and intensity of bowel sounds, exceeding the upper limit of the normal range.

Choice B Bowel sounds less than the normal range might indicate decreased bowel motility but are not associated with hyperactive bowel sounds.

Choice C Absent bowel sounds would be concerning and may indicate an ileus or other gastrointestinal issue, but it is not associated with hyperactive bowel sounds.

Choice D Hyperactive bowel sounds are characterized by an increased frequency and intensity of bowel sounds, exceeding the normal range, and are likely to be documented in a patient with abdominal pain.

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A nurse is speaking to a patient about his recent bowel movement. He says, "Sometimes my bowel movements are greenish in color. Is that normal?" The nurse replies:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adult patient has orders for an enema. A nurse will

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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