{"id":142221,"date":"2024-09-21T14:38:42","date_gmt":"2024-09-21T14:38:42","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=142221"},"modified":"2024-09-21T14:38:43","modified_gmt":"2024-09-21T14:38:43","slug":"a-nurse-is-reinforcing-discharge-teaching-with-an-older-adult-clients-family-about-safety-precautions-when-administering-a-tap-water-enema-to-the-client","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/21\/a-nurse-is-reinforcing-discharge-teaching-with-an-older-adult-clients-family-about-safety-precautions-when-administering-a-tap-water-enema-to-the-client\/","title":{"rendered":"A nurse is reinforcing discharge teaching with an older adult client&#8217;s family about safety precautions when administering a tap water enema to the client."},"content":{"rendered":"\n<p>A nurse is reinforcing discharge teaching with an older adult client&#8217;s family about safety precautions when administering a tap water enema to the client. Which of the following should the nurse include in the instructions?<\/p>\n\n\n\n<p>A.<br>Instruct the client to bear down during rectal tube insertion.<\/p>\n\n\n\n<p>B.<br>Administer a second enema if results are not clear.<\/p>\n\n\n\n<p>C.<br>Assist the client to a right Sims&#8217; position<\/p>\n\n\n\n<p>D.<br>Insert the rectal tube in the direction of the client&#8217;s umbilicus.<\/p>\n\n\n\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\">The Correct answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n<p>The correct answer is <strong>C. Assist the client to a right Sims&#8217; position.<\/strong><\/p>\n\n\n\n<p>When administering a tap water enema to an older adult client, it\u2019s important to consider comfort, safety, and effective delivery of the enema solution. Positioning the client correctly is crucial for both the procedure&#8217;s effectiveness and the client&#8217;s comfort. The right Sims&#8217; position (lying on the left side with the right knee bent) helps facilitate the flow of the enema solution into the rectum and sigmoid colon, reducing the risk of cramping and promoting a successful evacuation.<\/p>\n\n\n\n<p><strong>Explanation of Options:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A. Instruct the client to bear down during rectal tube insertion.<\/strong> This is not advisable. Bearing down can increase pressure and discomfort during the insertion. Instead, the client should relax during this process to ease the insertion and avoid injury to the rectal mucosa.<\/li>\n\n\n\n<li><strong>B. Administer a second enema if results are not clear.<\/strong> While it\u2019s important to ensure effective bowel evacuation, administering a second enema should not be the first course of action without assessing the client\u2019s condition and tolerance. Overuse of enemas can lead to dependency or electrolyte imbalances, particularly in older adults.<\/li>\n\n\n\n<li><strong>D. Insert the rectal tube in the direction of the client&#8217;s umbilicus.<\/strong> This is incorrect. The rectal tube should be inserted gently toward the client&#8217;s navel (umbilicus) but at a slight angle (not directly towards it) to avoid trauma to the rectum and to facilitate the passage of the tube into the rectum.<\/li>\n<\/ul>\n\n\n\n<p>In summary, the right Sims&#8217; position (option C) is the best choice for administering a tap water enema, as it enhances comfort and the effectiveness of the procedure, especially in older adults who may have specific needs related to mobility and comfort during such interventions.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is reinforcing discharge teaching with an older adult client&#8217;s family about safety precautions when administering a tap water enema to the client. Which of the following should the nurse include in the instructions? A.Instruct the client to bear down during rectal tube insertion. B.Administer a second enema if results are not clear. C.Assist [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-142221","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142221","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=142221"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142221\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=142221"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=142221"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=142221"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}