A client has received a return-flow enema. What should the nurse document about this procedure?
1. Number of times the solution was changed.
2. Type of solution.
3. Length of time the solution was retained.
4. The amount, color, and consistency of the return.
5. Client relief of flatus and abdominal distention.
Correct Answer: 2,3,4,5
Rationale 1: The nurse does not need to document the number of times the solution was changed.
Rationale 2: For a return-flow enema, the nurse should document the type of solution used.
Rationale 3: For a return-flow enema, the nurse should document the length of time the solution was retained.
Rationale 4: For a return-flow enema, the nurse should document the amount, color, and consistency of the return.
Rationale 5: For a return-flow enema, the nurse should document the client's relief of flatus and abdominal distention.
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