A nurse has delegated the administration of a tap water enema to a nursing assistive personnel (NAP). The assistive personnel demonstrates understanding of the procedure when she states which of the following? (Select all that apply.)
a. "I will lower the enema when the patient complains of cramping."
b. "I will speed up the enema administration when the patient complains of cramping."
c. "I will withdraw the tube when the patient complains of cramping."
d. "I will clamp the tubing when the patient complains of cramping."
e. "I will fill the bag with hot water because it will cool while I am administering the enema."
f. "I will have the patient sit on the toilet while I am administering the enema."
A, D
When the enema is instilled too rapidly, the instillation will cause pain and cramping. The instillation should be slowed down. When a patient complains of cramping, lower the container, clamp the tube, or temporarily stop the instillation. Filling the bag with hot water demonstrates that the assistive personnel does not understand the directions for this procedure. Having the patient sit on a toilet demonstrates that the assistive personnel does not understand the proper position for administering an enema.
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