The nurse is preparing to administer an enema to a patient.Of the following choices,choose the enema that is most likely to lead to circulatory overload.

Question

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Tap water (hypotonic)enema should not be repeated after first instillation because water
toxicity or circulatory overload can develop.
Hypertonic solution is useful for patients who cannot tolerate large volumes of fluid.Only 120 to 180 mL (4 to 6 ounces)is usually effective (e.g.,commercially prepared Fleet enema).Soapsuds enema (SSE)is pure castile soap added to tap water or normal saline,depending on the patient's condition and frequency of administration.Use only castile pure soap.The recommended ratio of pure soap to solution is 5 mL (1 teaspoon)to 1000 mL (1 quart)warm water or saline.Add soap to enema bag after water is in place to reduce excessive suds.Harris Flush enema is a return flow enema that helps to expel intestinal gas.Fluid alternately flows into and out of the large intestine.This stimulates peristalsis in the large intestine and assists in expelling gas.

The Nurse Is Preparing to Administer an Enema to a Patient.Of