NCLEX PN Practice Tests Practice Question
An adult has both an oil retention enema and a cleansing enema ordered. The nurse knows that this client is most likely to have which condition/ problem?
Correct Answer: D
Rationale: The presence of both an oil retention enema and a cleansing enema indicates a need to relieve severe constipation, which is characteristic of fecal impaction.
Straining while defecating (A) may occur in various conditions but does not specifically require both types of enemas. Melena (B), or black, tarry stools, typically results from upper gastrointestinal bleeding, not necessitating these enemas. Ulcerative colitis (C) involves inflammation of the colon and may require different treatments, but it does not specifically indicate the need for both enemas. Thus, fecal impaction is the most fitting condition for this scenario.
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