100% Correct Answers
A nurse who is administering a return-flow enema to a client. After instilling 100 mL of enema fluid,
which of the following actions should the nurse take?
Lower the container to allow the solution to flow back out.
While a nurse is administering a cleansing enema, the patient reports abdominal cramping. Which of
the following actions should the nurse take?
Lower the enema fluid container.
A nurse is administering an enema medicated with sodium polystyrene sulfonate (Kayexalate) to an
adult client who has hyperkalemia. To which of the following lengths should the nurse insert the
rectal tube?
7.5 cm to 10 cm (3 to 4 in).
A client who is postoperative is experiencing abdominal distention and is having difficulty expelling
flatus. The nurse should expect the provider to prescribe which of the following types of enemas?
return-flow
A nurse is preparing to administer a cleansing enema to a patient who has poor sphincter control.
Which of the following actions should the nurse take?
Place the patient in the dorsal recumbent position on a bedpan.
A nurse is preparing to administer an oil-retention enema to a client who has constipation. The nurse
should instruct the client to retain the solution for which of the following durations?
At least 30 min.
A nurse is preparing a client for an enema. The nurse should assist the patient to which of the
following positions?
Left lateral with the right leg flexed
A nurse is preparing to administer the first of two large-volume, cleansing enemas prescribed for a
patient in preparation for a diagnostic procedure. Which of the following actions should the nurse
take?
Warm the enema solution prior to instillation.