Which nursing action(s) would be appropriate when administering a disposable enema? (Select all that apply.)
a. Position the patient on the left side.
b. Allow the solution to flow in by gravity.
c. Instruct the patient to hold the solution 30 minutes before defecating.
d. Maintain the six rights of medication administration.
e. Lubricate the rectal tube.
ANS: A, C, D, E
To facilitate flow into the large intestine, patients should be positioned on the left side. The solution should be held for 30 minutes before defecating. Enemas are medications, so the seven rights of medication administration should be followed. Lubrication of the rectal tube will facilitate insertion into the rectum. Gravity will not facilitate the administration of a small volume of enema solution administered from a bottle.
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