In: Nursing
In planning the post-procedure care for a client who has a barium enema, the nurse should include:(Select all that apply.)
1. Position the client on the right side.
2. Maintain bed rest for 12 hours.
3. Observe and record the amount of rectal drainage.
4. Encourage fluids.
5. Monitor the client for a rise in body temperature and abdominal pain.
6. Administer a laxative.
Barium enema test is used to find any abnormalities in large intestine. X-rays that are released during the procedure by barium can recorded and studied later to find a medical diagnosis.
Among the given options, a nurse should follow the instructions 2, 3, 4, 5 and 6.
1. Right side position is not recommended. The patient who has gone through barium enema should lie on his or her left side so that pressure on abdomen is not increased.
2. Limitation in movements after enema test is important because, the patient might undergo loss of fluid and constipation for atleast 12 hours.
3. During the enema procedure, catheter is inserted into rectal region so that barium sulfate along with fluid enters the large intestine. After, 30 minutes this liquid is collected as the drainage. Any blood spots in such drainage should be immediately reported to the doctor by a nurse.
4. After enema to avoid constipation, fluids are majorly provided.
5. Any damage in rectum can lead to fever and abdominal pain. So, any signs of rise in temperature should be reported to the doctor,
6. Laxative and fluids are provided to avoid hardening of stool, which may lead to constipation.