A patient who is constipated has just received a mineral oil-retention enema. The nurse encourages this patient to hold this enema for a minimum of how long?
5 minutes
60 minutes
1 minutes
15 minutes
The Correct Answer is D
When a patient receives a mineral oil-retention enema for constipation, it is important for them to hold the enema for at least 15 minutes to allow the mineral oil to soften the stool and facilitate its passage. During this time, the patient should try to resist the urge to defecate and retain the enema solution in the rectum for the desired effect.
Holding the enema for just 5 minutes (option A) may not provide sufficient time for the mineral oil to have an optimal effect on softening the stool.
Holding the enema for 60 minutes (option B) is incorrect because is not typically necessary and may cause discomfort or inconvenience to the patient. Most mineral oil-retention enemas do not require such a long duration of retention.
Holding the enema for just 1 minute (option C) is incorrect because is too short a duration for the mineral oil to have any significant effect on softening the stool.
It is important for the nurse to provide specific instructions to the patient regarding the duration of enema retention and ensure the patient understands the importance of following these instructions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The faceplate, also known as the wafer or barrier, of an ostomy appliance should typically be changed every 3 to 5 days. This timeframe allows for regular maintenance of the stoma and surrounding skin, ensuring proper hygiene and minimizing the risk of skin irritation or infection. However, it's important to note that individual circumstances may vary, and the frequency of faceplate changes can be adjusted based on the patient's specific needs, the type of ostomy, and the condition of the skin. Regular assessment of the stoma and peristomal skin is essential to determine the optimal timing for faceplate changes.
Correct Answer is B
Explanation
a. Sigmoid colon: By the time the stool reaches the sigmoid colon, it is typically well-formed and solid. The sigmoid colon is the last segment of the colon before the rectum, and at this point, most water has been absorbed from the stool.
b. Ascending colon: The ascending colon is where the least formed stool is found. As the contents move from the small intestine into the large intestine, they are still in a liquid state. The ascending colon is the first part of the large intestine where absorption of water and electrolytes begins, but the stool is not yet fully formed.
c. Descending colon: In the descending colon, the stool is more solid than in the ascending and transverse colon but not as fully formed as it will be in the sigmoid colon. Water absorption continues in this section, leading to the stool becoming more solid.
d. Transverse colon: The transverse colon lies between the ascending and descending colon. The stool here is more formed than in the ascending colon but still not as solid as it will be by the time it reaches the descending and sigmoid colon. The process of water absorption is ongoing in this section.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.