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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