6. A nurse is assisting in developing a bowel-training program for a client after a stroke. Which interventions are appropriate for inclusion in the plan? Select all that apply. A. Providing privacy and time for defecation B. Assisting the client into a sitting position C. Limiting the amount of fiber in the client's diet D. Providing a cool drink before defecation time E. Initiating defecation measures every day at the same time F. Administering a cathartic suppository a half-hour before defecation time 76. The nurse is explaining to a client the process for administering a cleansing enema prescribed for an adult client who will be undergoing bowel surgery tomorrow. The nurse explains that which is the maximal volume of fluid that can be administered? A. 250 mL B. 500 mL C. 750 mL D. 1000 mL
Answer (1)
For the first question about developing a bowel-training program for a client after a stroke, here are the appropriate interventions to include in the plan:
A. Providing privacy and time for defecation: Privacy is crucial as it helps the client to relax and concentrate on the bowel movement. It's important to give them enough time without feeling rushed.
B. Assisting the client into a sitting position: The sitting position is the most natural and effective posture for defecation, which can help facilitate bowel movements.
E. Initiating defecation measures every day at the same time: Establishing a regular schedule helps in training the bowel to support predictable bowel movements. Consistency is key in bowel training post-stroke.
F. Administering a cathartic suppository a half-hour before defecation time: This can be appropriate to stimulate bowel movements, especially if the client is having difficulty initiating bowel actions naturally. It should be used under medical supervision.
Options C and D are inappropriate for a bowel-training program. Limiting fiber can worsen constipation, and providing a cool drink is not known to promote bowel movement.
For the second question about administering a cleansing enema to an adult client:
The maximal volume of fluid that can be administered in a cleansing enema for an adult is D. 1000 mL . This amount helps ensure the colon is adequately cleaned while reducing the risk of fluid overload or injury. The nurse should administer the enema slowly and monitor the client closely throughout the process to ensure comfort and safety.
