LPN Fundamentals Practice Questions Related

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A healthcare professional is preparing to administer a cleansing enema to a client. Which of the following actions should the healthcare professional plan to take?

  • A. Insert the rectal tube 15.2 cm (6 inches) into the client's rectum
  • B. Wear clean gloves before inserting the tubing
  • C. Position the client on their left side
  • D. Hold the solution bag 91 cm (36 inches) above the client's rectum
Correct Answer: C

Rationale: Positioning the client on their left side is crucial when administering an enema as it helps facilitate the flow of the solution into the sigmoid and descending colon. This position allows gravity to assist in the process. Placing the client on the left side is a standard practice to promote optimal outcomes during the procedure. Choices A, B, and D are incorrect. Choice A provides a specific measurement for the insertion depth of the rectal tube, which is not typically necessary to include in the plan of action. Choice B is essential but not specific to enema administration. Choice D mentions holding the solution bag without specifying the correct height, which should typically be around 18-24 inches above the rectum for a cleansing enema.