During administration of a nonretention enema, the nurse should:
a. hang the solution 12-18 inches above the client's hip.
b. infuse the solution as quickly as possible so client can expel it.
c. elevate the solution as high as needed to infuse it in 20 minutes.
d. hang the solution 12-18 inches above the level of the client's anus.
ANS: D
Feedback
A Incorrect: This would place the solution approximately six inches higher than it should be.
B Incorrect: Solution should flow slowly by gravity.
C Incorrect: There is no time limitation on a nonretention enema.
D Correct: This is the appropriate height; however, it can be lowered to decrease the flow if needed for client.
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