ATI Bowel Elimination Questions And
Answers 2022 Latest Update
A client who is postoperative is experiencing abdominal distention and is having
difficulty expelling flatus. The nurse should expect the provider to pr
...
ATI Bowel Elimination Questions And
Answers 2022 Latest Update
A client who is postoperative is experiencing abdominal distention and is having
difficulty expelling flatus. The nurse should expect the provider to prescribe which of the
following types of enemas?
A. Cleansing
B. Return-flow
C. Medicated
D. Oil-retention - Answer: B. Return-flow
Return-flow, or flush, enemas are used to expel flatus, stimulate peristalsis, and relieve
abdominal distention.
A. Cleansing enemas remove feces when a client is constipated, has a fecal impaction,
or is undergoing preparation for surgery or diagnostic procedures. This type of enema
would not address this client's immediate need.
C. Medicated enemas are given for a variety of reasons, such as to reduce bacteria in
the colon prior to surgery or to exert a systemic effect. This type of enema would not
address the client's immediate need.
D. Oil-retention enemas lubricate the rectum and the colon, making feces softer and
easier to pass. This type of enema would not address the client's immediate need.
A nurse is preparing to administer an oil-retention enema to a client who has
constipation. The nurse should try and instruct the client to retain the solution for which
of the following durations?
A. The duration of the procedure
B. 10-15 minutes
C. Until the client feels the urge to defecate
D. At least 30 minutes - Correct Answer: D. At least 30 minutes
The enema will be most effective in softening the stool and lubricating its passageway if
the client retains the oil for a minimum of 30 min.
A. This might be enough time to lubricate the rectum and the distal portion of the colon,
but it is not enough time to allow the oil to penetrate the feces and soften them to
facilitate elimination.
B. This might be enough time to lubricate the rectum and the distal portion of the colon,
but it is not enough time to allow the oil to penetrate the feces and soften them to
facilitate elimination.
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