A client is prescribed to receive a cleansing enema. What should the n

A client is prescribed to receive a cleansing enema. What should the nurse instruct the client prior to administering this enema?

1. Hold the solution for a short time.
2. Lie in the left lateral position.
3. Lie in the right lateral position.
4. Take fast breaths through the nose.

ANSWER

Correct Answer: 2
Rationale 1: Once the enema is given, the client should hold the solution as long as possible for the best results.
Rationale 2: The client lies in the left lateral position in order to clean the rectum and sigmoid.
Rationale 3: The client lies in the left lateral position, not the right, in order to clean the rectum and sigmoid.
Rationale 4: The client should take slow deep breaths through the mouth. This will enable the client to hold the solution being given.