Bowel Elimination/Ostomy Care: Exam (Remotely Proctored)
Question 1
pts
From the following, choose the four primary functions of the colon. (Select all that apply.)
Reuptake.
Correct!
Protection.
Correct!
Secretion.
Correct!
Absorption.
Correct!
Elimination.
Transference.
The four primary functions of the large intestine are absorption, protection, secretion, and
elimination.
Question 2
0. pts
From the following, choose the correct equipment to bring to the bedside to administer
the commercially prepared Fleet enema. (Select all that apply.)
Correct Answer
Toilet paper and/or basin with warm water, washcloth, and towel.
Sterile gloves.
Enema bag.
Correct!
Waterproof bed pad.
Tubing with a rectal tip.
Correct!
Clean disposable gloves.
Correct!
Commercially prepared enema product.
Correct!
Water-soluble lubricant.
Question 3
pts
, The nurse listens for bowel sounds before administering an enema. The patient asks, “Why
are you listening to my abdomen?” The nurse's accurate response is:
“To determine the amount of enema solution needed.
“To determine which position I should place you in for administration of the enema.”
“To determine the presence of bowel sounds, which indicates you will be able to hold
the
solution.”
Correct!
“To determine the presence of bowel sounds, which indicates the intestines are
working.”
Assessment of a patient before giving the enema should include determining the presence of
bowel sounds. Bowel sounds indicate peristalsis and can establish a baseline for
determining effectiveness.
Question 4
pts
To which of the following patients would it be considered acceptable to administer an
enema without the nurse needing to question the order?
A patient with inflammatory bowel disease.
A patient with glaucoma.
A patient with increased intracranial pressure.
Correct!
A patient who is going to have abdominal surgery.
An enema is often administered before surgery to evacuate the bowel. Conditions that
contraindicate use of enemas include the presence of increased intracranial pressure, glaucoma,
inflammatory bowel disease, and recent rectal or prostate surgery.
Question 5
pts
A nurse is preparing to administer an enema. Which of the following actions indicates
correct understanding?
The nurse adds 5 mL of castile soap to the enema bag and then fills it to the prescribed
level with warm water.
The nurse places the male patient in the dorsal recumbent position for enema
administration.
Correct!
The nurse holds the tubing in the patient's rectum constantly until the end of fluid
instillation.
The nurse administers a normal saline enema without a health care provider's order when
the patient hasn't had a bowel movement after 3 days.
Question 1
pts
From the following, choose the four primary functions of the colon. (Select all that apply.)
Reuptake.
Correct!
Protection.
Correct!
Secretion.
Correct!
Absorption.
Correct!
Elimination.
Transference.
The four primary functions of the large intestine are absorption, protection, secretion, and
elimination.
Question 2
0. pts
From the following, choose the correct equipment to bring to the bedside to administer
the commercially prepared Fleet enema. (Select all that apply.)
Correct Answer
Toilet paper and/or basin with warm water, washcloth, and towel.
Sterile gloves.
Enema bag.
Correct!
Waterproof bed pad.
Tubing with a rectal tip.
Correct!
Clean disposable gloves.
Correct!
Commercially prepared enema product.
Correct!
Water-soluble lubricant.
Question 3
pts
, The nurse listens for bowel sounds before administering an enema. The patient asks, “Why
are you listening to my abdomen?” The nurse's accurate response is:
“To determine the amount of enema solution needed.
“To determine which position I should place you in for administration of the enema.”
“To determine the presence of bowel sounds, which indicates you will be able to hold
the
solution.”
Correct!
“To determine the presence of bowel sounds, which indicates the intestines are
working.”
Assessment of a patient before giving the enema should include determining the presence of
bowel sounds. Bowel sounds indicate peristalsis and can establish a baseline for
determining effectiveness.
Question 4
pts
To which of the following patients would it be considered acceptable to administer an
enema without the nurse needing to question the order?
A patient with inflammatory bowel disease.
A patient with glaucoma.
A patient with increased intracranial pressure.
Correct!
A patient who is going to have abdominal surgery.
An enema is often administered before surgery to evacuate the bowel. Conditions that
contraindicate use of enemas include the presence of increased intracranial pressure, glaucoma,
inflammatory bowel disease, and recent rectal or prostate surgery.
Question 5
pts
A nurse is preparing to administer an enema. Which of the following actions indicates
correct understanding?
The nurse adds 5 mL of castile soap to the enema bag and then fills it to the prescribed
level with warm water.
The nurse places the male patient in the dorsal recumbent position for enema
administration.
Correct!
The nurse holds the tubing in the patient's rectum constantly until the end of fluid
instillation.
The nurse administers a normal saline enema without a health care provider's order when
the patient hasn't had a bowel movement after 3 days.
