Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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Janna, a 52-year-old female, had a surgical procedure with permanent ileostomy. A nurse gives an enema through the stoma to stimulate emptying. Which of the following actions by the nurse demonstrates proper technique of irrigating the colostomy?
  1. The nurse uses warm tap water for irrigation.
  2. The bottom of the bag is at the level of the client’s shoulder.
  3. The nurse performs irrigation two hours after meals.
  4. The irrigation tube is quickly inserted to the stoma.
Explanation
Answer: B - The nurse hangs the irrigation bag so that the bottom of the bag is at the level of or slightly higher than the client’s shoulder. The water used for irrigation must be lukewarm. The irrigation is usually conducted one hour after meals. The tube must be inserted gradually without force.
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