A patient who is constipated has just received a mineral oilretention enema. The nurse encourages this patient to hold this enema for a minimum of how long?

5 minutes

60 minutes

1 minute

15 minutes

Answer and Explanation

The Correct Answer is D

Choice A: Holding the enema for only 5 minutes may not provide enough time for the mineral oil to soften the stool and facilitate a bowel movement.

Choice B Holding the enema for 60 minutes is unnecessary and can lead to discomfort and difficulty for the patient.

Choice C Holding the enema for only 1 minute is too short for the mineral oil to be effective in softening the stool.

Choice D Encouraging the patient to hold the mineral oil enema for a minimum of 15 minutes allows sufficient time for the oil to work on the stool and improve the chances of a successful bowel movement.

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Correct Answer is C

Explanation

Choice A For an ileostomy, liquid consistency of stool is expected as the output, and it is not an immediate concern.

Choice B Foul odor from the stool is common with ileostomy output, and while it can be unpleasant, it is not an immediate concern.

Choice C This finding should be reported immediately, as it could indicate bleeding from the stoma or intestinal mucosa, which requires prompt evaluation and intervention.

Choice D Continuous output from an ileostomy is normal and expected, so it is not a cause for immediate concern.

A. "I should never attempt to reach into my stoma to remove fecal material." B. "Using warm enema will reduce cramping and discomfort during the procedure." C. "To properly irrigate and clean my ostomy stoma, I can use any solution that is convenient." D. "Sitting on the toilet lets the ostomy bag and irrigant drain into the toilet bowl."

Correct Answer is C

Explanation

Choice A This statement is correct, as patients should never attempt to insert anything into the stoma to remove fecal material.

Choice B This statement is also correct, as using warm water for irrigation can help reduce discomfort and cramping during the procedure.

Choice C This statement is incorrect. Patients should use only the irrigation solution recommended by their healthcare provider, as using the wrong solution can lead to complications or damage to the stoma.

Choice D This statement is correct, as sitting on the toilet allows the ostomy bag and irrigation solution to drain directly into the toilet, making the procedure more convenient.

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A patient who is constipated has just received a mineral oilretention enema. The nurse encourages this patient to hold this enema for a minimum of how long?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is emptying an ileostomy pouch for a patient. Which assessment finding would the nurse report immediately?

Correct Answer is C

Explanation

A nurse is educating a patient on how to irrigate an ostomy bag. Which statement by the patient indicates the need for further instruction?

Correct Answer is C

Explanation

Which doctor's order should be questioned?

The nurse would expect the least formed stool to be present in which portion of the digestive tract?

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