The nursing assistant administers a soap suds enema to a client and, during the administration, observes that the liquid is seeping out of the anus and the client complains of discomfort. What action should the nursing assistant take?

Question

Quizplus · Accepted Answer

If the nursing assistant administers a soap suds enema and observes that fluid is seeping from the anus, to the best action is to clamp or lower the enema temporarily and ask the client to take some deep breaths before continuing with the enema. Decreasing the rate and asking the client to take deep breaths help relieve the cramping and promote absorption of the enema. Removing it and having the client use the restroom makes the enema less effective in cleansing the bowels. Raising the bag and increasing the force would cause more liquid seeping from the anus. Continuing the administration will result in the liquid leaking onto the pad below the client.

The Nursing Assistant Administers a Soap Suds Enema to a Client