A nurse needs to administer an oil retention enema to a client. Which of the following interventions should the nurse perform if disposable equipment is unavailable?
A) Insert a 14F to 22F tube into the rectum.
B) Insert 100 to 200 ml of warm oil into the rectum with syringe.
C) Insert a suppository into the rectum.
D) Insert a small funnel and instill solution in the rectum.
A
Feedback:
If disposable equipment is not available during an oil retention enema, the nurse should lubricate and insert a 14F to 22F tube into the rectum. A small funnel is not inserted into the rectum but is attached to the tube. The nurse instills approximately 100 to 200 ml of warmed oil slowly only after the tube is inserted in the rectum, not before that. Inserting a suppository or syringe in the rectum is not done in an oil retention enema.
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