Asked by kayla swank on Jul 09, 2024
Verified
Mrs.Ellinor is being administered an enema this morning.The nurse encounters resistance at the internal sphincter when inserting the enema tube into Mrs.Ellinor's rectum.What should the nurse do next?
A) Have Mrs.Ellinor take a deep breath and run a small amount of fluid through the tube
B) Raise the height of the container holding the solution to increase pressure
C) Withdraw the tube right away and report the resistance to the charge nurse
D) Withdraw the tube and re-insert it
Internal Sphincter
refers to a ring of muscle located in the anus or the urethra that helps control the expulsion of feces or urine from the body.
Enema Tube
A medical device used to inject fluid into the rectum and colon, often for the purposes of clearing the bowels or administering medication or nutrition.
- Ensure the safe application of enemas, recognizing their different forms, effects, and prospective complications.
Verified Answer
TB
Tameeka BarnesJul 12, 2024
Final Answer :
A
Explanation :
Having Mrs. Ellinor take a deep breath can help relax the sphincter muscles, and running a small amount of fluid can help ease the tube past the internal sphincter. This approach is gentle and can be effective in overcoming the resistance without causing discomfort or harm.
Learning Objectives
- Ensure the safe application of enemas, recognizing their different forms, effects, and prospective complications.
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