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The Nursing Assistant in Orientation Is Administering a Soap Suds

Question 6

Multiple Choice

The nursing assistant in orientation is administering a soap suds enema to a client. Which action indicates the nursing assistant requires intervention?


A) Testing the water temperature 105°F and adds castile soap to the 500 mL water.
B) Hanging the enema bag 20 inches above the anus on an intravenous pole.
C) Applying water-soluble lubricant to the tip and inserting it 3 inches into the rectum.
D) Employing the left Sims position with the upper thigh flexed toward the client's chest.

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