Which word should the nurse use when describing to a client how a soapsuds enema affects the intestine?
Lubricating
Irritating
Dilating
Softening
The Correct Answer is B
A. Lubricating: A lubricating enema typically refers to an enema solution that contains a lubricant, such as mineral oil, to help soften feces and facilitate their passage from the rectum. Lubricating enemas are used to alleviate constipation by easing the passage of stool. However, soapsuds enemas do not primarily function as lubricating enemas.
B. Irritating: This is the correct option. Soapsuds enemas contain soap or detergent mixed with water, and their primary action is to irritate the intestinal mucosa. The irritation stimulates peristalsis, which promotes bowel evacuation. Soapsuds enemas are often used to relieve constipation by inducing bowel movements through irritation of the intestinal lining.
C. Dilating: Dilating refers to widening or enlarging a structure. While enemas, including soapsuds enemas, may contribute to the relaxation and dilation of the rectum and lower bowel, the primary action of a soapsuds enema is to stimulate bowel evacuation through irritation rather than dilation.
D. Softening: Softening enemas typically involve the introduction of a solution, such as a mineral oil-based solution, to soften feces and facilitate their passage from the rectum. While softening enemas help alleviate constipation by softening stool consistency, soapsuds enemas do not primarily function as softening enemas. Their main action is to stimulate bowel evacuation through irritation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I shouldn't take my vitamin D pill before the stool sample is collected." Vitamin D supplements are unlikely to interfere with the hemoccult test, as they typically do not contain substances that affect the detection of occult blood in the stool. Therefore, this statement does not demonstrate an understanding of factors relevant to the stool sample collection for the hemoccult test.
B. "I should take a laxative to help me pass my stool." Taking a laxative before collecting the stool sample is not recommended, as it can alter the consistency and composition of the stool, potentially affecting the accuracy of the hemoccult test. Laxatives may also cause diarrhea, leading to difficulty in collecting a sufficient sample. Therefore, this statement is incorrect and does not reflect effective teaching regarding stool sample collection for the hemoccult test.
C. "I must avoid drinking milk before collecting the stool sample." While certain dietary restrictions may be necessary for specific diagnostic tests, drinking milk is not typically prohibited before collecting a stool sample for a hemoccult test. Milk consumption is unlikely to interfere with the test results or the detection of occult blood in the stool. Therefore, this statement is not relevant to the hemoccult test and does not demonstrate understanding of appropriate preparation for the test.
D. "Any meat that I eat before I collect my stool sample must be fully cooked." This statement reflects an understanding of food safety and hygiene practices relevant to stool sample collection for the hemoccult test. Fully cooked meat reduces the risk of bacterial contamination in the stool sample, which could interfere with the accuracy of the test results. Therefore, this statement demonstrates effective teaching regarding the importance of food preparation in ensuring accurate test results for the hemoccult test.
Correct Answer is ["A","B","C"]
Explanation
A. Sexually transmitted infections (STIs): Assessing the client's knowledge of STIs is crucial following the initiation of sexual activity to ensure understanding of risks and preventive measures. It enables the nurse to provide education on STI transmission, symptoms, prevention methods (such as condom use), and the importance of regular STI screening.
B. The need for contraception: Assessing the client's understanding of contraception is essential to prevent unintended pregnancies. The nurse can explore the client's knowledge of contraceptive methods, their effectiveness, correct usage, and availability. Providing education on contraceptive options empowers the client to make informed decisions about protecting their sexual health.
C. Facts vs. myths about sex: Assessing the client's understanding of facts and myths surrounding sex helps identify any misconceptions or gaps in knowledge. This allows the nurse to provide accurate information about sexual anatomy, physiology, reproductive health, and healthy sexual practices. Addressing myths promotes sexual health literacy and reduces the risk of misinformation influencing behavior.
D. Hormonally-induced decrease in vaginal lubrication: Assessing hormonal changes affecting vaginal lubrication is less relevant in this context, as it primarily applies to physiological changes in older individuals or those experiencing hormonal fluctuations due to menopause or medical conditions. It is not typically a concern immediately following a first sexual experience in adolescence.
E. Erectile dysfunction: Assessing knowledge of erectile dysfunction is more pertinent in males and is typically not a primary concern immediately following a first sexual experience for a female client. While it is valuable to address sexual health comprehensively, focusing on topics directly relevant to the client's situation is paramount for effective assessment and education.
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