QuestionAugust 12, 2025

The nurse is caring for a client who requires a cleansing enema before undergoing an x-ray of the bowel. When planning and implementing this intervention.which action(s) will the take? Select all that apply Place the client in a Sims position. Keep the solution temperature below 77^circ F(25^circ C) Auscultate the bowel sounds. Ensure there is a bedpan at the bedside. Encourage the client to retain the fluid for 45 minutes.

The nurse is caring for a client who requires a cleansing enema before undergoing an x-ray of the bowel. When planning and implementing this intervention.which action(s) will the take? Select all that apply Place the client in a Sims position. Keep the solution temperature below 77^circ F(25^circ C) Auscultate the bowel sounds. Ensure there is a bedpan at the bedside. Encourage the client to retain the fluid for 45 minutes.
The nurse is caring for a client who requires a cleansing enema before undergoing an x-ray of
the bowel. When planning and implementing this intervention.which action(s) will the
take? Select all that apply
Place the client in a Sims position.
Keep the solution temperature below 77^circ F(25^circ C)
Auscultate the bowel sounds.
Ensure there is a bedpan at the bedside.
Encourage the client to retain the fluid for 45 minutes.

Solution
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Answer

Place the client in a Sims position. ### Ensure there is a bedpan at the bedside. Explanation 1. Identify Correct Position Place the client in a Sims position to facilitate the flow of the enema solution. 2. Solution Temperature The solution temperature should be warm, typically around 99^{\circ}F (37^{\circ}C), not below 77^{\circ}F (25^{\circ}C), to avoid cramping. 3. Prepare for Elimination Ensure there is a bedpan at the bedside for immediate use after the procedure. 4. Retention Time Encourage the client to retain the fluid for about 5-10 minutes, not 45 minutes, to allow effective cleansing.

Explanation

1. Identify Correct Position<br /> Place the client in a Sims position to facilitate the flow of the enema solution.<br /><br />2. Solution Temperature<br /> The solution temperature should be warm, typically around $99^{\circ}F (37^{\circ}C)$, not below $77^{\circ}F (25^{\circ}C)$, to avoid cramping.<br /><br />3. Prepare for Elimination<br /> Ensure there is a bedpan at the bedside for immediate use after the procedure.<br /><br />4. Retention Time<br /> Encourage the client to retain the fluid for about 5-10 minutes, not 45 minutes, to allow effective cleansing.
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