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Enema Questions with Correct Answer1
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Enema Questions with Correct Answer1
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Enema Questions with Correct AnswersCleansing Enemas Correct Answer-these are given to remove feces from
the colon commonly to relieve constipation or fecal impaction, prevent
involuntary escape of fecal material during surgical procedures, promote
visualization of the intentional tract by radiographic or instrument
examination, and help establish regular bowel function during a bowel
training program.
4 Types of Cleansing Enemas Correct Answer--Hypertonic
-Tap Water (Hypotonic)
-Normal Saline (Isotonic)
-Soap Suds Enema
Hypertonic Correct Answer-Distends intestine, irritates intentional
mucosa, pulls fluid out of interstitial spaces.
Causes fluid shifting
Low volume: 70-130mL Fleets
Do not give to dehydrated patients, infants, patients with renal disease or
kidney failure
Takes 5-10 to take effect
Tap Water (hypotonic) Correct Answer-Distends intentine, increases
peristalsis, and softens stool.
Causes fluid shifting
Large Volume 500-1000mL
,Not to be repeated or used on infants or children
Takes 15min to take effect
Normal Saline (Isotonic 0.9 sodium chloride) Correct Answer-Safest
Safe for children and infants
Distends intestines, increases peristalsis and softens stool.
Saline is reflective to our body fluids
Do not cause fluid shifting
500-1000mL
Time to take effect 15 min
Oil Retention Correct Answer-lubricates the stool and intentional
mucosa making defecation easier.
about 200mL can be mineral, olive or cottonseed oil
Time to take effect 30 min
Inappropriate times to administer Hypertonic and tap water enemas
Correct Answer-These two types cause fluid shifting so it is not safe for
dehydrated patients, very young infants and children, patients with renal
disease or kidney failure. Or patients with sodium retention
What is the correct type of soap that should be used when administering
soapsuds enema Correct Answer-Pure castile soap
, What is the correct position that a patient should be placed in before
administering an enema and why Correct Answer-A reclining position
specifically left side lying position (Sims position) or the knee to the
chest position. It helps distribute the solution throughout the lower
intentional tract. Sims position facilitates the flow of solution via gravity
into the rectum colon optimizing fluid retention
How high should the nurse hold the large volume enema container to
administer a large volume cleansing enema Correct Answer-12- 18
inches above the level of the anus
What temperature should be the solution be for enema administration
Correct Answer-Warm to room temp or slightly higher
test on inner wrist
103-110
Prioritize the nurses actions if a patient complains of abdominal
discomfort and cramping during enema administration Correct Answer-
Clamp the tubing or lower the container, encourage patient to take small
deep breaths and pant, also can check water temperature
How far does the nurse insert the enema tip into the rectum of an adult
Correct Answer-3-4 inches
What nursing assessment needs to be performed after enema
administration Correct Answer-Asses for dizziness, diaphoresis, and
clammy skin.
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