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.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
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.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask Fundamentals of Nursing questions like this
Fundamentals of Nursing is on 9 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
More Elimination and Catheterisation questions
A patient cannot use the urethra because of a urethral injury and needs continuous urinary drainage. Which device may be prescribed?
Where should a urinary drainage bag be maintained for a patient with an indwelling catheter?
Which action is correct when inflating the balloon of an indwelling urinary catheter?
A patient with a new colostomy is learning how to care for the appliance. Which statement shows correct understanding?
A nurse needs a stool specimen for occult blood testing. Which instruction is appropriate?
A patient has frequent diarrhoea and excoriated skin around the anus. Which nursing action best protects the skin?