Podcast
Questions and Answers
What is the purpose of an oil retention enema?
What is the purpose of an oil retention enema?
- To cleanse the entire bowel completely
- To stimulate peristalsis for flatus expulsion
- To introduce medication for local treatment
- To soften and lubricate feces for easier passage (correct)
How long should a retention enema typically be retained after administration?
How long should a retention enema typically be retained after administration?
- Overnight
- Less than 30 minutes
- 4 to 6 hours
- 1 to 3 hours (correct)
What is the primary reason for administering a carminative enema?
What is the primary reason for administering a carminative enema?
- To cleanse the bowel
- To treat local infections
- To expel flatus (correct)
- To administer nutrients
What is typically the volume of fluid instilled for a carminative enema in adults?
What is typically the volume of fluid instilled for a carminative enema in adults?
What technique is used in a return-flow enema to encourage bowel movement?
What technique is used in a return-flow enema to encourage bowel movement?
What is the primary purpose of administering an enema?
What is the primary purpose of administering an enema?
Which of the following conditions may indicate the need for an enema?
Which of the following conditions may indicate the need for an enema?
What type of enema is primarily used to prepare the intestine for diagnostic tests?
What type of enema is primarily used to prepare the intestine for diagnostic tests?
What temperature should the enema solution be administered at for optimal comfort?
What temperature should the enema solution be administered at for optimal comfort?
What is a common enema solution that draws water into the colon?
What is a common enema solution that draws water into the colon?
What assessment should be performed before administering an enema?
What assessment should be performed before administering an enema?
Which of the following is NOT a purpose of administering a cleansing enema?
Which of the following is NOT a purpose of administering a cleansing enema?
Which statement about enema administration is correct?
Which statement about enema administration is correct?
What is the first action a nurse should take before administering an enema?
What is the first action a nurse should take before administering an enema?
Which of the following should be performed to prevent infection during enema administration?
Which of the following should be performed to prevent infection during enema administration?
What position should the client be placed in to facilitate enema administration?
What position should the client be placed in to facilitate enema administration?
What should be done to the rectal tube before insertion?
What should be done to the rectal tube before insertion?
Which statement about the feelings experienced during the enema procedure is correct?
Which statement about the feelings experienced during the enema procedure is correct?
What should the nurse do to ensure the enema solution is adequately prepared?
What should the nurse do to ensure the enema solution is adequately prepared?
Which item is essential for enema administration?
Which item is essential for enema administration?
How should the enema tube be inserted into the rectum?
How should the enema tube be inserted into the rectum?
What is the recommended depth for inserting the enema tube?
What is the recommended depth for inserting the enema tube?
What should be done if resistance is encountered while inserting the enema tube?
What should be done if resistance is encountered while inserting the enema tube?
How high should the solution container be held during the administration of a low enema?
How high should the solution container be held during the administration of a low enema?
What should a caregiver do if the client complains of fullness or pain during the enema?
What should a caregiver do if the client complains of fullness or pain during the enema?
What is the minimum amount of time a client should retain a cleansing enema?
What is the minimum amount of time a client should retain a cleansing enema?
After administering the enema solution, what should be done with the enema tube?
After administering the enema solution, what should be done with the enema tube?
How should a client be positioned to facilitate defecation after an enema?
How should a client be positioned to facilitate defecation after an enema?
When should a digital rectal examination be performed during the enema process?
When should a digital rectal examination be performed during the enema process?
What should the nurse do after administering an enema to ensure proper client hygiene?
What should the nurse do after administering an enema to ensure proper client hygiene?
For a return-flow enema, what is the typical volume of solution instilled for an adult?
For a return-flow enema, what is the typical volume of solution instilled for an adult?
When caring for an incontinent client receiving an enema, which position should be recommended?
When caring for an incontinent client receiving an enema, which position should be recommended?
What is the primary purpose of documenting the results after administering an enema?
What is the primary purpose of documenting the results after administering an enema?
What should a nurse monitor for in a client after administering a return-flow enema?
What should a nurse monitor for in a client after administering a return-flow enema?
Which action should be taken if a client cannot retain an enema solution for even a few minutes?
Which action should be taken if a client cannot retain an enema solution for even a few minutes?
What is the recommended action after inserting the enema tube for a return-flow enema?
What is the recommended action after inserting the enema tube for a return-flow enema?
What aspect of the enema administration should be evaluated against previous assessment data?
What aspect of the enema administration should be evaluated against previous assessment data?
Study Notes
Enema Overview
- Enema administration stimulates stool evacuation and relieves severe constipation.
- It involves introducing a liquid solution into the rectum and large intestine.
- Doctor’s order is required for enema administration.
- Ideal solution temperature is 37.7°C (100°F) to prevent discomfort and cramping.
Purpose of Enemas
- Indicated for patients with three or fewer bowel movements over seven days.
- Commonly used for cleaning the lower bowel prior to procedures like colonoscopy.
- May involve prior use of laxatives to facilitate waste flow.
Types of Cleansing Enemas
- Cleansing Enema: Removes feces to prevent escapes during surgery or prepare for diagnostic tests.
- Common Solutions:
- Hypertonic solutions (e.g., sodium phosphate) draw water into the colon, with 90-120 mL used typically.
Retention Enema
- Introduces oil or medication to the rectum, retained for 1 to 3 hours.
- Oil retention softens feces and lubricates the rectum.
- Antibiotic and nutritive enemas are also used for direct treatment and nutrient delivery.
Carminative Enema
- Designed to expel flatus by instilling 60-80 mL of fluid into the rectum, stimulating peristalsis.
Return-Flow Enema
- Also known as Harris flush, involves alternating the inflow (100-200 mL) and outflow of fluid to stimulate peristalsis.
- Abnormal findings must be validated, such as difficulty inserting the tube or fluid retention issues.
Equipment for Enema Administration
- Required items: linen-saver pad, bath blanket, bedpan, clean gloves, lubricant, and either large or small volume solution set.
Enema Administration Procedure
- Introduction and identity verification are crucial before beginning.
- Maintain client privacy and assist them into the left lateral position for comfort.
- Proper lubrication of the rectal tube is essential prior to insertion.
- Fluid administration should be slow, monitoring for pain or discomfort.
- Clients should retain the enema for 5-30 minutes depending on type.
Follow-Up Steps
- Assist the client to defecate once the holding period is over.
- Observe the feces for analysis if needed.
- Documentation should include type, volume, and results of the enema administered.
Special Considerations
- For patients unable to retain the enema due to incontinence, administer while in supine position on a bedpan.
- Adjust head elevation if necessary for better comfort and breathing.
- Repeat inflow-outflow for return-flow enemas while documenting all pertinent information.
Evaluation
- Assess and compare findings against expected results, noting any deviations and ensuring follow-up care as needed.
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Description
This quiz covers the essential information regarding enema administration, including types, purposes, and common solutions used. It is crucial for patients with severe constipation or those preparing for procedures requiring bowel cleansing. Understand the protocols and implications of administering enemas effectively.
