Very hard

A nurse is preparing to administer a cleansing enema. Which assessment finding requires the nurse to stop and notify the prescriber?

Correct answer: B. The patient has suspected intestinal obstruction

  • A. The patient has mild anxiety about the procedure
  • B. The patient has suspected intestinal obstruction
  • C. The patient asks to use the bathroom afterward
  • D. The patient reports a bowel movement yesterday

Explanation

An enema may worsen a suspected intestinal obstruction and can cause complications, so the finding must be reported before the procedure. Mild anxiety, a recent bowel movement, or concern about defecating afterward is not by itself a contraindication.

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About Elimination and Catheterisation

Elimination care covers normal bowel and urinary patterns, constipation, diarrhoea, incontinence, retention, enemas, ostomies and specimen collection. Catheterisation includes indications, catheter types, insertion principles, drainage-bag care and prevention of urinary infection, with attention to the difference between urinary retention and incontinence.

Practise Elimination and Catheterisation

50 free Elimination and Catheterisation MCQs from Fundamentals of Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.

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