A Primary Care Physician Has Ordered a High Enema for a Patient

question 4

Multiple Choice

A primary care physician has ordered a high enema for a patient admitted for constipation. When administering the high enema, a nurse will

• A) Insert the tip of the tubing a minimum of 8 inches to make certain that feces contained above the sigmoid colon will be removed.
• B) Instill at least 1000 mL normal saline heated to 120°F to promote peristalsis but decrease the discomfort of cramping.
• C) Insert the tip of the tubing 4 inches while the patient sits on the toilet to aid elimination by use of gravity.
• D) Instill half of the ordered solution while the patient lies on the left side, then reposition the patient to supine and then right lateral side-lying position to instill the rest of the solution.

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Definitions:

Lewin's Model

A change management model created by Kurt Lewin that includes three stages: unfreezing, changing, and refreezing.

Organizational Change

A process through which a company or organization alters its structures, strategies, operational methods, technologies, or organizational culture to effect change within the organization and adapt to new market trends or challenges.

Transformational Change

The process of change that results in a major and comprehensive redirection of the organization.

Major Redirection

Significant changes or adjustments in strategy, goals, or focus, often in response to changing external conditions or new insights.