CORRECT Answers
A nurse is preparing to administer a cleansing enema to a patient who is prone to fecal
incontinence due to poor sphincter control and is unlikely to retain the enema solution. Which of
the following interventions is appropriate for this patient? - CORRECT ANSWER - A)
Place the patient in the dorsal recumbent position on a bedpan.
A patient who is postoperative is experiencing abdominal distention and is having difficulty
expelling flatus. The nurse should anticipate receiving an order from the provider for which of
the following types of enemas? - CORRECT ANSWER - return flow
A nurse is preparing to administer an oil-retention enema to a patient who has constipation. The
nurse explains that the patient should try to retain the instilled oil for? - CORRECT
ANSWER - At least 30 min, but preferably as long as he can
A nurse is preparing to administer the first of two large volume, cleansing enemas prescribed for
a patient in preparation for a diagnostic procedure. Which of the following is an appropriate step
in the procedure? - CORRECT ANSWER - A) Warm the enema solution prior to
instillation
A nurse is preparing an older adult patient for an enema. The nurseshould assist the patient to
which of the following positions? - CORRECT ANSWER - Left lateral with right leg
flexed
While a nurse is administering a cleansing enema, the patient reports abdominal cramping.
Which of the following is the appropriate intervention? - CORRECT ANSWER - Lower
the enema fluid container
A nurse who is administering a return-flow enema to a patient should instill 100 mL of enema
fluid and then - CORRECT ANSWER - lower the container to allow the solution to flow
back out