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Assessment pct questions with answersrespectively.
What is contraindicated in a patient with hemorrhoids? ANS - Rectal thermometer
What position is used when administering a cleansing enema to a patient? ANS - sims
What type of enema is used to soften the stool and lubricate the bowel? ANS - oil retention enema
What can cause an increase in flatulence in patients? ANS - carbonated beverages
What is the usual volume of a cleansing enema when administered to an adult? ANS - 750 to 1000 ml
What is the medical term for swollen and inflamed veins in the anus and lower rectum? ANS -
hemorrhoids
The characteristics of stool vary depending on the location of an ostomy. Where is fecal material liquid?
ANS - ileum
What is the best position to put a patient in to promote defecation when using a bedpan? ANS -
fowlers
How often should most people have a bowel movement? ANS - every 1 to 3 days
What is the medical term for the presence of gas or air in the intestinal tract? ANS - flatuence
When cutting the skin barrier of a pouch, the opening must be small enough to form a proper seal. How
much larger than the stoma should the cut be made to form a proper seal and yet not put pressure on
the stoma? ANS - 1/16 in
, What is the most common method of delivering oxygen to a patient? ANS - nasal cannula
At what flow rate should humidification be used? ANS - 4L/min
n order to prevent respiratory complications in a patient who has had surgery, how often should the
patient be encouraged to cough and deep breathe? ANS - every 1 to 2 hours
What is the preferred position for a patient during coughing and deep breathing exercises? ANS - semi
fowlers
What is true regarding a patient who is receiving oxygen via the transtracheal method? ANS -
Oxygenation is usually achieved with less oxygen flow than with other systems.
What is considered an early sign or symptom of hypoxia? ANS - restlessness
A patient with a tracheostomy requires suctioning. How long at a time should the nurse perform
suctioning? ANS - maximum of 10 seconds
What precautions need to be taken when oxygen is in use? ANS - report frayed wires immediately
What precautions need to be taken when oxygen is in use? ANS - side lining
What type of tracheostomy tube lets a patient talk and breathe naturally? ANS - a fenestrated tube
When performing tracheostomy care, which cannula should be removed for cleaning? ANS - inner
cannula
What is the usual flow rate for a patient with a chronic lung disorder, such as COPD? ANS - 2L/minute
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