Which doctor's order should be questioned?

An oil retention enema for a patient using mineral oil laxatives

A normal saline enema to be repeated every 4 hours until stool is produced

A hypertonic solution enema with a patient with fluid volume excess

A Kayexalate enema for a patient with hypokalemia

Answer and Explanation

The Correct Answer is C

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Correct Answer is A

No explanation

A. Blood pressure increases from 110/84 to 118/88 mm Hg. B. Temperature increases from 98.8°F to 99.0°F. C. Pulse rate decreases from 78 to 52 beats/min. D. Respiratory rate increases from 16 to 24 breaths/min.

Correct Answer is C

Explanation

Choice A This change in blood pressure is not alarming and does not require immediate cessation of the procedure.

Choice B A slight increase in temperature is within a normal range and does not indicate an urgent issue related to the stool removal procedure.

Choice C A significant decrease in pulse rate suggests bradycardia, which can be a serious sign and might be caused by the stimulation of the vagus nerve during the procedure. The nurse should stop immediately and take corrective action.

Choice D An increase in respiratory rate may indicate increased anxiety or discomfort, but it is not an immediate cause for stopping the procedure.

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Which doctor's order should be questioned?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

A nurse is digitally removing stool that is impacted from a patient. The nurse should stop the procedure immediately and take corrective action if the patient's:

Correct Answer is C

Explanation

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Which doctor's order should be questioned?

Your patient is supposed to get a tap water enema. What medical diagnosis would NOT qualify him for this procedure?