An adult patient has orders for an enema. A nurse will
Give the enema to the patient while he or she sits on the toilet.
Insert the tip of the enema tube into the rectum pointing towards the umbilicus.
Have the patient lie on the right side to facilitate the instillation of water.
Chill the water to a temperature between 75°F and 85°F.
The Correct Answer is B

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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A Rhinorrhea refers to a runny or stuffy nose and is not related to the described stool characteristics.
Choice B Amenorrhea is the absence of menstruation and is not related to the described stool characteristics.
Choice C Steatorrhea is the presence of bulky, foulsmelling, floating stools that contain a high amount of undigested fat. It is often associated with malabsorption disorders or pancreatic
insufficiency.
Choice D Diarrhea is characterized by loose or watery stools and is not related to the described stool characteristics.
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