The patient is receiving a soapsuds enema but is having a difficult time retaining the fluid. What action should the nurse take? (Select all that apply.)
a. Give the enema slowly.
b. Place the patient in the dorsal recumbent position on a bedpan.
c. Give the enema with the patient on the toilet.
d. Give the enema in the right lateral position.
e. Give the enema faster.
A, B
Give the enema slowly to aid absorption. If the patient is full of stool, retention is difficult. As stool is evacuated, there is more room in the colon for additional fluid. If the patient has poor sphincter control, position the patient on the bedpan in a comfortable dorsal recumbent position. Patients with poor sphincter control cannot retain all of the enema solution. Administering an enema with the patient sitting on a toilet is unsafe because curved rectal tubing can abrade the rectal wall. Enemas are not given to patients in the right lateral position.
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