Sam, 25 year old, was admitted to the surgical ward after being diagnosed with acute appendicitis. He is scheduled for STAT operation.
16. As part of the physical pre-operative preparation, the doctor ordered "enema until return flow is clear." The safest solution to use for repeated enemas would be:
A. Sterile water
B. Tap water
C. Soap suds
D. Saline
17. What height would be appropriate for elevation of the enema bag for a cleansing enema?
A. Slightly below the hips
B. 12-16 inches above the hips
C. Less than 12 inches above the hips
D. 18-24 inches above the hips
18. What is the best position of the patient during an anema?
A. Lithotomy
B. Right lateral Sim's
C. Dorsal
D. Left lateral Sim's
19. After two days post-operatively Sam complains of abdominal pain and shortness of breath. The nurse observes abdominal distention. The most likely cause of Sam's current conditions is:
A. Flatulence
B. Constipation
C. Slowed esophageal emptying
D. Increased paristalsis
20. After 5 minutes of giving the enema, Sam complains of abdominal cramping. The most appropriate action to take is:
A. Clamp the tubing temporarily
B. Encourage the client to change position
C. Remove the rectal tube
D. Take no action as this is expected
