What is the maximum height at which the container of fluid should be held by the nurse when administering the enema?

164) When performing colostomy irrigation the nurse inserts the catheter into the stoma upto:Options:A) 10cm (4 inches)B) 15 cm (6 inches)C) 20 cm (8 inches)D) 5 cm (2 inches)Correct Answer is: AExplanation : 10 cm is far enough to direct the flow of solution into the bowel. Insertion of 5 cm isinadequate fluid may leak back around the catheter. An insertion of 15 cm (6 inches) may cause traumato the mucosa. An insertion of 8 inches may cause trauma to the mucisa.165) A client is to have an enema to reduce flatus. The rectal catheter should be inserted upto markOptions:A) 15 cm ( 6 inches)B) 5 cm (2 inches)C) 10 cm (4 inches)D) 20 cm (8 inches)Correct Answer is: AExplanation : A rectal catheter should be inserted approximately 15 cm ( 6 onches) to pass the rectalsphincters and reach where the gas accumulates. Insertion upto 5 cm will not allow the tube to pass thesphincters. Insertion upto 10 cm may just pass the internal sphincters it will not reach the accumulatedgas. Insertion upto 20 cm may damage the intestinal mucosa.X

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An enema is the administration of a substance in liquid form into the rectum. This may be performed to aid bowel evacuation or to administer medicines.

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