After Having an Enema Tube Inserted into the Rectum, a Patient

question 6

Multiple Choice

After having an enema tube inserted into the rectum, a patient begins to exhibit symptoms of a vagal response. A nurse should immediately do which of the following?

• A) Place the patient in the supine position.
• B) Remove the enema tube from the rectum.
• C) Flush the colon with Kayexalate.
• D) Administer a small dose of atropine.
• E) Assess pulse rate, skin color, and whether the patient is diaphoretic.