An older adult's perineal skin appears to be dry and thin with mild excoriation. When providing hygiene after a bowel movement, the nurse should

After cleaning the backside, apply a skin protective lotion to protect the skin.

Tape an occlusive moisture barrier pad to the patient's skin.

Massage the skin with deep kneading pressure.

Thoroughly scrub the skin with a washcloth and hypoallergenic soap.

Answer and Explanation

The Correct Answer is A

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Correct Answer is D

Explanation

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.

A. Sigmoid colon B. Ascending colon C. Descending colon D. Transverse colon

Correct Answer is B

Explanation

The correct answer is choice b. Ascending colon.

Choice A rationale:

The sigmoid colon is the last part of the large intestine before the rectum. By this stage, the stool is usually well-formed as most water has been absorbed.

Choice B rationale:

The ascending colon is the first part of the large intestine where the stool is least formed. This is because it is the initial stage of the large intestine where water absorption begins, so the stool is still relatively liquid.

Choice C rationale:

The descending colon is further along the digestive tract, where more water has been absorbed, making the stool more formed compared to the ascending colon.

Choice D rationale:

The transverse colon is between the ascending and descending colons. While the stool here is more formed than in the ascending colon, it is less formed than in the descending and sigmoid colons.

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An older adult's perineal skin appears to be dry and thin with mild excoriation. When providing hygiene after a bowel movement, the nurse should

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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

Correct Answer is B

Explanation

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