The nurse is administering a cleansing enema.Which action would indicate the need for further instruction on the process?

Question

Quizplus · Accepted Answer

The recommended volume for a cleansing enema is 500-1000 mL, not the time it takes to administer that volume. Administering 1,000 mL of fluid over 30 minutes is not appropriate and could potentially cause harm to the patient. Therefore, further instruction is needed. A warm solution, holding the container 12 inches above the rectum, and encouraging the patient to retain the enema for 5-10 minutes are all appropriate actions for administering a cleansing enema.

The Nurse Is Administering a Cleansing Enema