Questions and Answers
A hypertonic enema is classified as which type of enema?
How would the nurse document inaudible bowel sounds after auscultation?
All four abdominal quadrants auscultated. Inaudible bowel sounds.
What is the outcome of using cottonseed oil during an enema?
Lubricates and softens stool
A hypertonic saline solution irritates local tissue.
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What factor is related to developmental changes in bowel habits for older adult clients?
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Which symptom is a known side effect of antibiotics?
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After a bowel resection, what type of nutrient absorption problems might a client expect?
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Electrolytes are predominantly absorbed in the duodenum, jejunum, and large intestine.
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What is the main function of the large intestines?
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What does a fecal occult blood test (FOBT) detect?
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How far should the nurse insert tubing for a large-volume enema?
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What is the correct action when inserting a rectal tube for a large-volume enema?
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Into which position should the nurse place the client receiving a hypertonic enema solution?
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Which client should discuss a colonoscopy screening with their health care provider?
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Study Notes
Bowel Elimination Overview
- Hypertonic enemas are classified as cleansing enemas, which help relieve constipation and enhance visualization during procedures like colonoscopy.
- Common solutions for cleansing enemas include tap water, normal saline, soap solution, and hypertonic solution.
- Carminative enemas relieve gaseous distention, while return-flow enemas expel flatus.
Abdominal Assessment
- Documentation for inaudible bowel sounds should state, "All four abdominal quadrants auscultated. Inaudible bowel sounds."
- A thorough assessment is crucial, highlighting any abnormalities in bowel sounds.
Enema Administration
- Cottonseed oil in enemas lubricates and softens the stool for easier expulsion during a retention enema.
- Tap water and normal saline solutions moisten stool and distend the rectum, while soap and water solutions irritate local tissues.
Developmental Considerations
- Weakened pelvic muscles in older adults contribute to constipation, along with reduced activity levels.
- Constipation is a prevalent issue among the elderly demographic.
Antibiotic Effects
- Diarrhea is a common side effect of antibiotic use, highlighting the importance of monitoring gut health.
Nutrient Absorption
- After bowel resection, clients may face absorption issues with certain vitamins and iron, primarily absorbed in the ileum.
- Fluid absorption mainly occurs in the large intestine, making its integrity crucial for hydration.
Electrolyte Absorption
- Electrolytes are predominantly absorbed in the duodenum and jejunum, essential for maintaining body homeostasis.
Intestinal Functions
- The large intestine's primary functions include water absorption and fecal matter formation, preparing waste for export from the body.
Fecal Occult Blood Test (FOBT)
- FOBT detects heme, an iron compound in blood within stool, and is critical for assessing rectal bleeding.
Enema Tubing Insertion
- When administering a large-volume enema, tubing should be inserted 3 inches (7.5 cm) past the sphincters to prevent mucosal damage.
- A gentle and slow approach is essential when inserting a rectal tube during enema administration.
Client Positioning for Enema
- Clients receiving hypertonic enemas should be placed in the Sims position, optimizing gravity for solution distribution.
Colonoscopy Screening Recommendations
- Individuals at 47 years with a family history of polyps should initiate discussions about colonoscopy screenings with healthcare providers.
- Regular colonoscopy screenings typically begin at age 50, with follow-ups every 10 years thereafter.
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Description
Test your knowledge on bowel elimination concepts with this comprehensive quiz. Focused on cleansing enemas and their classifications, you'll strengthen your understanding of key terms and definitions relevant to bowel health. Perfect for nursing students or those studying gastrointestinal procedures.
