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","B","C"]
Explanation
A and B. Turnips and Beets are known to contribute to increased colostomy odors. These vegetables contain compounds that can cause a strong odor in the stool and subsequently in the colostomy bag.
B. Buttermilk is also known to increase colostomy odors. It is a fermented dairy product that can have an impact on the smell of stool.
D. Yogurt, on the other hand, is not typically associated with increased colostomy odors. In fact, consuming yogurt can sometimes help regulate bowel movements and reduce odor in the stool due to its probiotic properties.
It is important to note that individuals may respond differently to certain foods, and the impact on colostomy odor can vary from person to person. It is advisable for individuals with a colostomy to work with a healthcare professional or a registered dietitian who can provide personalized dietary recommendations based on their specific needs and preferences.
Correct Answer is C
Explanation
Finding blood in the stool from an ileostomy is an abnormal and potentially concerning finding. It could indicate bleeding from the digestive tract, which requires prompt evaluation and medical intervention. The nurse should notify the healthcare provider immediately to ensure appropriate assessment and management of the situation.
Liquid consistency of stool in (option A) will not be reported immediately although it is typical for an ileostomy as it involves the output of liquid stool from the small intestine.
Unpleasant odor from the stool in (option B) is a common characteristic of stool output from an ileostomy. It is important for the nurse to address odor control measures, but it may not require immediate reporting unless accompanied by other concerning symptoms.
Continuous output from the stomach in (option D) is not an expected finding for an ileostomy, as the ileostomy bypasses the stomach. However, this option seems unrelated to the given scenario and is not as urgent as the presence of blood in the stool.
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