N170 Medications - Vaginal/Rectal

Question 1

What does a hypotonic enema do?

Answer 1

Shifts water from colon into IS space

Question 2

What does a hypertonic enema do?

Answer 2

Shift fluid from IS to colon

Question 3

What does an isotonic enema do?

Answer 3

Stimulates peristalsis

Question 4

What does a soapsud enema do?

Answer 4

Stimulates peristalsis by inc volume in the colon and irritating the mucosa

Question 5

Which cleansing enema is the safest? And why?

Answer 5

Isotonic because there is no fluid movement

Question 6

When are carminative enemas given?

Answer 6

To expel flatus

Question 7

When are retention enemas given?

Answer 7

To bring oil or medication to rectum or sigmoid colon

Question 8

When are return-flow enemas given?

Answer 8

Occasionally to expel flatus

Question 9

What side should the patient be laying on to receive an enema?

Answer 9

Left lateral position

Question 10

What should the patient do once the enema has been given?

Answer 10

Retain the solution for required amount of time

Question 11

What position should the patient be in to receive a rectal suppository?

Answer 11

Left side lying Sim’s position

Question 12

What areas are topical medications applied to?

Answer 12

Skin and mucous membranes including the vagina and rectum

Question 13

What does percutaneous mean?

Answer 13

Through the skin

Question 14

What is important to consider before applying a patch medication?

Answer 14

Whether or not their old patch is still on them, if so it must be removed

Question 15

What 4 types of cleansing enemas are there?

Answer 15

Hypertonic
Hypotonic
Isotonic
Soapsuds

Question 16

What is important to get the patient to do before instilling a vaginal medication?

Answer 16

Void - it reduces discomfort during procedure