Author Question: The nurse is performing a colostomy irrigation on a male client. During the irrigation, the client ... (Read 82 times)

michelleunicorn · **on:** Jul 23, 2018

The nurse is performing a colostomy irrigation on a male client. During the irrigation, the client begins to complain of abdominal cramps. What is the appropriate nursing action?

a. Notify the physician.
b. Stop the irrigation temporarily.
c. Increase the height of the irrigation.
d. Medicate for pain and resume the irrigation.

Question 2

The nurse is helping the patient to perform leg exercises after surgery to prevent thrombophlebitis. Which type of muscle is the patient using for these exercises?

a. Skeletal
b. Smooth
c. Cardiac
d. Slow-twitch fibers

nothere · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
If cramping occurs during a colostomy irrigation, the irrigation flow is stopped 15 to 30 seconds and the client is asked to take deep breaths. Cramping may occur from an infusion that is too rapid or is causing too much pressure. The physician does not need to be notified. Increasing the height of the irrigation will cause further discomfort. Medicating the client for pain is not the appropriate action in this situation.

Answer to Question 2

A
Skeletal muscle moves the bones with ligaments. Smooth muscle is found in the digestive tract and other hollow structures, such as the blood vessels and bladder. Cardiac muscle contracts spontaneously and as blood is ejected out of the heart. Slow-twitch fibers are a subtype of skeletal muscle cell. Slow-twitch fibers (type I), or red muscle, have a rich blood supply and are rich in mitochondria (the powerhouse of the cell) to give the muscle more oxygen and energy to sustain aerobic activity. The fast-twitch fibers (type II skeletal muscle type) are known as white muscle. These fibers increase the speed of muscle contraction.