Which Information About Tap Water Enemas Is True

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Question: The nurse observes the presence of a tympanic note when percussing the abdomen of a patient. What would be the probable cause for the presence of a tympanic note?

1 Gas

2 Fluid

3 Tumor

4 Thick pus

Answer: 1 Gas

Percussion is a method of physical examination that helps the healthcare provider or nurse to listen to the sounds produced by the body. The presence of gas gives a tympanic note on percussion in the abdomen. Fluid, tumor, masses, and thick pus have a dull note on percussion of the abdomen.

Question: Where does normal defecation begin?

1 Anus

2 Colon

3 Stomach

4 Small intestine

Answer: 2 Colon

Normal defecation begins with movement in the left colon, moving stool toward the anus. It does not begin in the anus, stomach, or small intestine.

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Question: The nurse notices that a patient’s iron supplements have caused an abnormal change in the color of the patient’s stools. What is most likely to be the observed abnormality of the stools?

1 Red color

2 Black color

3 Oily texture

4 Clay-like appearance

Answer: 2 Black color

Iron ingestion can cause black or tarry stools. Red stools can be caused by gastrointestinal bleeding, hemorrhoids, or ingestion of beets. Pale and oily stools are cause by the malabsorption of fat. White or clay stools are caused by the absence of bile.

Question: Upon auscultating the abdomen of a patient with a stethoscope, the nurse hears high-pitched and hyperactive bowel sounds. What might this indicate?

1 Small intestine obstruction

2 Normal bowel activity

3 Fluid or gas within the abdomen

4 Effects of abdominal surgery

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Question: Which condition may be caused by frequent straining during defecation?

1 Flatulence

2 Constipation

3 Hemorrhoids

4 Fecal incontinence

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Question: 3 When was the last time you moved your bowels?

Lack of a bowel movement is a sign of a bowel obstruction and is a medical emergency.

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