Administering a Cleansing Enema Case Study: Phillip
Russell- (Qs & As)
What activities to prevent infection or break the chain of infection are required for this
procedure? Correct Ans-- Perform hand hygiene
- Put on clean gloves
- Maintain surgical asepsis
What are the key elements to assess before administering a cleansing enema to Mr. Russell?
Correct Ans-- Assess his abdomen
- Inspect his rectal area
- Assess conditions that might interfere with his ability to safely get to the bathroom
- Check the results of his current lab work
The steps for preparing the enema are below Correct Ans-1: Warm the prescribed solution
in the volume ordered. Ensure that the solution is at the appropriate temperature to prevent
adverse effects.
, Administering a Cleansing Enema Case Study: Phillip
Russell- (Qs & As)
2: Check the temperature of the solution with a bath thermometer or test it on your inner
wrist. It shouldn;t feel hot. Warming the solution prevents chilling the patient, adding to the
discomfort of the procedure, and prevents injury to the internal mucosa
3: Add the solution to the container, along with any prescribed additives. This sis necessary to
administer prescribed therapy
4: Release the clamo and allow fluid to progress through the tube to expel the air in the
administration tubing. This causes any air to be expelled from the tubing. Allowing air to
enter the intestine is not harmful, bt it may further distend the intestine
Identify the appropriate body position to administer the enema? Correct Ans-Sims
At what height above the level of the anus would you place the enema solution container?
Correct Ans-18 inches
Correct Ans-1: Generously lubricate 2-3 inches of the end of the rectal tube. Lubrication
facilitates the passage of the rectal tube through the anal sphincter and prevents injury to the
mucosa.
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