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Administering a Cleansing Enema Practice Questions and Answers (100% Pass)
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Administering a Cleansing Enema Practice Questions and Answers (100% Pass)
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©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PMWEST VIRGINIA UNIVERSIRTY-WV26506
Administering a Cleansing Enema Practice
Questions and Answers (100% Pass)
Which action would the nurse take to ensure the safety of an older adult patient who
has received an enema? - ✔️✔️Provide assistance to the bathroom for expulsion of fluid
and stool.
Rationale: Assisting an older adult to the bathroom helps ensure the patient's safety
because it may prevent a fall. While a patient with hemorrhoids may require special care
during insertion of the tip of the rectal tube, this intervention pertains to the patient's
comfort, not to his or her safety. Documenting the patient's physical response to the
enema is appropriate, but this action pertains to recording and reporting, not safety.
Instructing the patient to attempt to retain the fluid for 2 to 5 minutes may help make the
enema more effective, but will not make it safer.
The nurse is preparing to administer an enema. How can the nurse best facilitate
insertion of the rectal tube? - ✔️✔️Lubricate the first 6.5 to 7.5 cm (2.5 to 3 inches) of the
tip of the tube.
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