Author Question: A client experiencing hard, dry feces is scheduled for an enema. The nurse realizes that the type of ... (Read 30 times)

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

A client experiencing hard, dry feces is scheduled for an enema. The nurse realizes that the type of solution that would be the best for the client would be:

1. Hypertonic.
2. Hypotonic.
3. Soapsuds.
4. Oil retention.
5. Isotonic.

Question 2

A client with an upper gastrointestinal disorder is experiencing seeping of liquid stool, anorexia, abdominal distention, nausea, and vomiting. The nurse suspects the client is experiencing:

1. Constipation.
2. Diarrhea.
3. Trapped flatus.
4. Fecal impaction.

asdfghjkl; · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2,5
Rationale 1: Hypertonic enema solutions draw water into the colon.
Rationale 2: Hypotonic enema solutions soften the feces.
Rationale 3: Soapsuds enema solutions irritate the mucosa.
Rationale 4: Oil retention enema solutions lubricate the feces.
Rationale 5: Isotonic enema solutions soften the feces.

Answer to Question 2

Correct Answer: 4
Rationale 1: Liquid stool is not an indication of constipation.
Rationale 2: The liquid stool associated with abdominal distention, anorexia, nausea, and vomiting is not an indication of diarrhea.
Rationale 3: Trapped flatus does not cause the seeping of liquid stool.
Rationale 4: A client who has a fecal impaction will experience the passage of liquid fecal seepage and no normal stool. The liquid portion of the feces seeps out around the impacted mass. Symptoms include anorexia, abdominal distention, nausea, and vomiting.