Enema Exam Questions and Answers 100% Pass

Enema Exam Questions and Answers 100% Pass Cleansing Enemas - these are given to remove feces from the colon commonly to relieve constipation or fecal impaction, prevent involuntary escape of fecal material during surgical procedures, promote visualization of the intentional tract by radiographic or instrument examination, and help establish regular bowel function during a bowel training program. 4 Types of Cleansing Enemas - -Hypertonic -Tap Water (Hypotonic) -Normal Saline (Isotonic) -Soap Suds Enema Hypertonic - Distends intestine, irritates intentional mucosa, pulls fluid out of interstitial spaces. 2 100% Pass Guarantee Katelyn Whitman, All Rights Causes fluid shifting Low volume: 70-130mL Fleets Do not give to dehydrated patients, infants, patients with renal disease or kidney failure Takes 5-10 to take effect Tap Water (hypotonic) - Distends intentine, increases peristalsis, and softens stool. Causes fluid shifting Large Volume 500-1000mL Not to be repeated or used on infants or children Takes 15min to take effect Normal Saline (Isotonic 0.9 sodium chloride) - Safest Safe for children and infants Distends intestines, increases peristalsis and softens stool. Saline is reflective to our body fluids 3 100% Pass Guarantee Katelyn Whitman, All Rights Do not cause fluid shifting 500-1000mL Time to take effect 15 min Oil Retention - lubricates the stool and intentional mucosa making defecation easier. about 200mL can be mineral, olive or cottonseed oil Time to take effect 30 min Inappropriate times to administer Hypertonic and tap water enemas - These two types cause fluid shifting so it is not safe for dehydrated patients, very young infants and children, patients with renal disease or kidney failure. Or patients with sodium retention What is the correct type of soap that should be used when administering soapsuds enema - Pure castile soap What is the correct position that a patient should be placed in before administering an enema and why - A reclining position specifically left side lying position (Sims position) or the knee to the chest position. It helps 4 100% Pass Guarantee Katelyn Whitman, All Rights distribute the solution throughout the lower intentional tract. Sims position facilitates the flow of solution via gravity into the rectum colon optimizing fluid retention How high should the nurse hold the large volume enema container to administer a large volume cleansing enema - 12- 18 inches above the level of the anus What temperature should be the solution be for enema administration - Warm to room temp or slightly higher test on inner wrist 103-110 Prioritize the nurses actions if a patient complains of abdominal discomfort and cramping during enema administrat