The enema given to relieve gaseous distension is?

Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2021

Explanation

A carminative enema is specifically designed to provide relief from gaseous distension.
It works by stimulating peristalsis, the muscular contractions of the intestines, which helps in the expulsion of flatus (gas).
A common and effective carminative solution is the MGW (Magnesium, Glycerin, Water) enema, which irritates the rectal mucosa to promote gas release.

Option A: A cold enema, also known as an ice water enema, is not used for gaseous distension. Its purpose is to lower a dangerously high body temperature.
Option B: An antihelminthic enema contains medication to kill and expel intestinal worms (parasites). It has no effect on gaseous distension.
Option D: A purgative enema is a very strong type of cleansing enema used to induce a complete and forceful bowel evacuation. While it will expel gas along with feces, its primary purpose is not to relieve gas but to treat severe constipation or for bowel preparation.

Clinical Relevance

Nursing practice connection: Knowing Types of enemas and their specific indications helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Nurses must select the correct type of enema based on the patient's specific condition to ensure effective treatment and avoid complications.
Administering the wrong type of enema can be ineffective at best and harmful at worst. For example, giving a hypertonic solution to a dehydrated patient can worsen their fluid and electrolyte imbalance.
Patient safety during enema administration involves correct positioning (left side-lying Sims' position), lubricating the tip, and inserting it gently to prevent rectal trauma.

How to Approach the Question

First, identify the key terms in the question: 'enema' and 'gaseous distension'.
The question asks for the specific type of enema used for a particular purpose.
Recall the different classifications of enemas and their primary indications.
Match the indication 'relieve gaseous distension' with the correct enema type.
Evaluate the options: 'Cold' is for fever, 'Antihelminthic' is for worms, 'Purgative' is for bowel evacuation, and 'Carminative' is for expelling gas.
Select the option that directly matches the purpose described in the question.

Concept Tested & Keywords

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E6 Nursing Fundamentals Taylor p. 627-629

E6 Nursing Fundamentals Potter Perry 12e Part 6 p. 41-43

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