Author Question: A hospital client went five days without having a bowel movement despite maintaining adequate food ... (Read 52 times)

roselinechinyere27m · **on:** Jul 22, 2018

A hospital client went five days without having a bowel movement despite maintaining adequate food and fluid intake. The nurse obtained an order for hypotonic cleansing enemas as needed and has administered two in succession, each with good effect.

The nurse should be wary of administering more enemas because of the risk of causing what problem? A) Intestinal rupture
B) Electrolyte imbalances
C) Backflow of feces into the small intestine
D) Dependence on enemas for normal bowel function

Question 2

The nurse is examining the anus of a client with a history of chronic constipation. Which of the following is indicative of chronic constipation?

A) The presence of rectal fissures
B) The area is more pigmented than adjacent skin
C) The area is moist and hairless
D) The presence of signs of trauma

234sdffa · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Feedback:
If several enemas are administered in succession, fluid and electrolyte imbalances may occur due to fluid shifts in the intestines. Rupture is a risk with large volume enemas rather than successive enemas and backflow of feces is not a common occurrence. Dependence on enemas results for prolonged use over time, not frequent use over a short time.

Answer to Question 2

A
Feedback:
The presence of rectal fissures is indicative of chronic constipation. The anal area is normally more pigmented than adjacent skin, moist, and hairless. Trauma also may be present if the client has participated in anal intercourse.