A nurse is required to administer a cleansing enema to a 9-year-old girl. Which step should the nurse follow?
A) Place the client in a prone position with her face down.
B) Lower the child's bed and raise both side rails.
C) Fill the enema container with the prescribed solution at 110°F.
D) Insert the rectal tube 2 to 3 inches toward the umbilicus.
D
Feedback:
In a child, the nurse should insert the rectal tube 2 to 3 inches toward the umbilicus. In adults, it may be inserted 3 to 4 inches toward the umbilicus. The child should be placed on the left side with the right knee bent. The child's bed should be raised to a comfortable height and the near side rail should be lowered for proper access. The enema should be filled with the prescribed solution at 100°F and not 110°F, as for an adult.
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