Question

To promote the patient's comfort during the administration of the enema solution, what other actions do you take?

Please select all that apply.
A. Preheat the normal saline solution to lukewarm prior to administration.
B. Lubricate the tip of the rectal tube before inserting it into the patient's anus.
C. Point the tip of the enema tube toward the patient's umbilicus while inserting it.
D. Insert the tip of the tube approximately 5 to 7 inches into the rectum.
E. Have the patient bear down as you insert the tube and start the flow of solution

Answer 1

To promote patient's comfort during enema administration, preheat the saline solution, lubricate the tube tip, point the tube toward the navel, follow insertion depth guidelines, and have the patient bear down during insertion. The answer is all options A,B,C ,D and E.

Step-by-step explanation:

To promote the patient's comfort during the administration of the enema solution, here are the correct actions to take:

• A. Preheat the normal saline solution to lukewarm prior to administration to prevent discomfort from cold fluids.
• B. Lubricate the tip of the rectal tube to minimize irritation and discomfort during insertion.
• C. While inserting the tube, point it toward the patient's umbilicus (navel) to follow the natural curve of the sigmoid colon, aiding in easier insertion and less discomfort.
• D. Inserting the tip of the tube 5 to 7 inches may be too deep for some patients and is not usually necessary. Instead, follow the recommended guidelines, which typically suggest inserting the tube 3 to 4 inches for adults.
• E. Have the patient bear down as if they are having a bowel movement during the insertion of the tube. This can reduce the sensation of pressure and make the insertion more comfortable.

Additionally, ensure that the patient is in a proper position, such as lying on their left side with their right knee bent (Sim's position), to reduce discomfort.

Hence, the answer is all options A,B,C,D and E.