Question

A nurse is preparing to administer a cleansing enema to an adult client in preparation for a diagnostic procedure. Which of the following steps should the nurse take?

1) Ensure the client is in a comfortable position
2) Explain the procedure to the client
3) Gather the necessary equipment
4) Administer the enema slowly
5) Monitor the client's response

Answer 1

When administering a cleansing enema to an adult client, the nurse needs to ensure the client's comfort, explain the procedure, gather the necessary equipment, administer the enema slowly, and monitor the client's response.

Step-by-step explanation:

When preparing to administer a cleansing enema to an adult client in preparation for a diagnostic procedure, the nurse should follow these steps:

1. Ensure the client is in a comfortable position: This is important to ensure the client's comfort and cooperation during the procedure.
2. Explain the procedure to the client: The nurse should provide clear and concise information about the enema procedure to the client, including its purpose and any possible discomfort.
3. Gather the necessary equipment: The nurse should ensure that all the required equipment, such as an enema bag, lubricant, and tubing, is readily available and in proper working condition.
4. Administer the enema slowly: The nurse should administer the enema solution slowly and in a controlled manner to avoid causing discomfort or injury to the client.
5. Monitor the client's response: Throughout the procedure, the nurse should closely monitor the client's response, including signs of discomfort, pain, or adverse reactions to the enema solution.