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Mosby- Admin Cleansing Enema- Questions and Answers
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Mosby- Admin Cleansing Enema- Questions and Answers
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Mosby- Admin Cleansing Enema- Questions andAnswers
The nurse is delegating to nursing assistive personnel (NAP) the administration of an enema
for an older adult patient who is recovering from a stroke. The enema order reads, "Enemas
until clear." Which statement made by NAP requires the nurse to follow up?
1. "I'll need help to turn her onto her side."
2. "It may take three or four enemas to achieve a clear return."
3. "I'll test the water temperature on the inside of my own wrist."
4. "The enema will wear her out, so I'll wait until after she ambulates." Correct Ans-2. "It
may take three or four enemas to achieve a clear return."
CORRECT. This statement requires follow-up, since administering more than three enemas can
cause fluid and electrolyte imbalance, especially in an older adult patient. The health care
provider should be notified if the bowel has not been evacuated after three enemas.
The nurse has delegated administration of a standard enema for a 72-year-old patient with
constipation. Which statement made by nursing assistive personnel (NAP) requires the nurse
to follow up?
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