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Administering a Cleansing Enema Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
Why is it important to check bowel sounds before giving a cleansing enema?✔✔ To confirm the presence of peristalsis and prevent complications
What is the correct body position for an adult receiving a cleansing enema?✔✔ Left lateral Sims’ position
How can the nurse reduce the risk of mucosal injury during insertion?✔✔ By lubricating the enema tip with water-soluble lubricant
What action should be taken if the patient reports abdominal cramping during the enema?✔✔ Slow or pause the flow of the enema solution
How far should the enema tip be inserted in an average adult?✔✔ 3 to 4 inches into the rectum
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What should the nurse do if the patient cannot retain the enema solution?✔✔ Stop the flow and assist the patient to the bathroom or bedpan
How can the nurse encourage retention of the enema solution?✔✔ Ask the patient to take slow deep breaths and clench the buttocks
What is the typical volume for an adult cleansing enema?✔✔ 500 to 1000 mL
What is the best fluid temperature range for an adult cleansing enema?✔✔ 105°F to 110°F
What should the nurse do after administering the enema and removing the tube?✔✔ Encourage the patient to retain the solution and assist to the toilet as needed
What documentation should follow enema administration?✔✔ Type, amount of solution, patient tolerance, and characteristics of stool
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