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The nurse is preparing to administer an enema. How can the nurse best facilitate insertion of the rectal tube?
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Which action would the nurse take to reduce the risk of infection among patients and staff when administering an enema to an older patient with dementia? Which action would the nurse take to reduce the risk of infection among patients and staff when admin
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week 12
Administering a Cleansing Enema
| Question | Answer |
|---|---|
| The nurse is preparing to administer an enema. How can the nurse best facilitate insertion of the rectal tube? | Lubricate the first 6 to 8 cm(2.5-3 inches) of the tip of the tube. |
| Which action would the nurse take to reduce the risk of infection among patients and staff when administering an enema to an older patient with dementia? Which action would the nurse take to reduce the risk of infection among patients and staff when admin | Perform hand hygiene before donning gloves. |
| Which action would the nurse take to ensure the safety of an older adult patient who has received an enema? | Provide assistance to the bathroom for expulsion of fluid and stool. |
| The nurse is delegating to nursing assistive personnel (NAP) the administration of an enema for an older adult patient who is recovering from a stroke. The enema order reads, enemas until clear. Which statement made by NAP requires the nurse to follow-up? | It may take three of four enemas to achieve a clear return. |
| The nurse has delegated administration of a standard enema for a 72-year-old patient with constipation. Which statement made by nursing assistive personnel (NAP) requires the nurse to follow-up? | I'll instill the solution and then check in on my other patients until I get the call signal. |
Created by:
Brandi Sizemore
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