Module 11 Bowel elimination and Enema
administration CH 47 Exam Questions and
Answers with Verified Solutions | Latest
Updated 2026
What interventions can be Sitting position, positioning on bedpan
implemented to promote normal
defecation?
Enema an instillation of a solution into the rectum
and
sigmoid colon to stimulate defecation
What is the primary reason for used most commonly for the immediate
administering an enema? relief of
constipation, emptying the bowel before
surgery
and the beginning of bowel training
, tap water/ hypotonic enema exerts an osmotic pressure lower than the
fluid in
the interstitial space. After infusion into the
colon
tap water escapes from the bowel lumen
into the
interstitial spaces. The net movement of
water is
low. this helps distend the intestine,
increase
peristalsis and softens stool before
significant
amounts of fluid is absorbed. Should not
be
repeated more than 3 times can cause
water
toxicity, circulatory overload and fluid
electrolyte
imbalance
Normal salien enema Equal concentration/ osmotic pressure on
both
sides of the membrane making it the safest
type.
This enema distends intestines increase
peristalsis
and softens stool. Can cause fluid and
electrolyte
imbalance and sodium retention
administration CH 47 Exam Questions and
Answers with Verified Solutions | Latest
Updated 2026
What interventions can be Sitting position, positioning on bedpan
implemented to promote normal
defecation?
Enema an instillation of a solution into the rectum
and
sigmoid colon to stimulate defecation
What is the primary reason for used most commonly for the immediate
administering an enema? relief of
constipation, emptying the bowel before
surgery
and the beginning of bowel training
, tap water/ hypotonic enema exerts an osmotic pressure lower than the
fluid in
the interstitial space. After infusion into the
colon
tap water escapes from the bowel lumen
into the
interstitial spaces. The net movement of
water is
low. this helps distend the intestine,
increase
peristalsis and softens stool before
significant
amounts of fluid is absorbed. Should not
be
repeated more than 3 times can cause
water
toxicity, circulatory overload and fluid
electrolyte
imbalance
Normal salien enema Equal concentration/ osmotic pressure on
both
sides of the membrane making it the safest
type.
This enema distends intestines increase
peristalsis
and softens stool. Can cause fluid and
electrolyte
imbalance and sodium retention
