Oregon Certified Nursing Assistant State Practice Exam

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When giving a cleansing enema, how far should the bottom of the enema bag be above the anus?

Not more than 20 inches
Not more than 12 inches
Not more than 10 inches
Not more than 8 inches

The correct answer is: Not more than 12 inches

When administering a cleansing enema, positioning of the enema bag is crucial for effective delivery of the solution. The correct height for the bottom of the enema bag should be not more than 12 inches above the anus. This height allows for enough gravitational force to encourage the solution to flow into the rectum without causing discomfort or excessive pressure. Having the enema bag positioned too high can lead to complications, such as discomfort or pain for the patient, and can also increase the risk of causing a sudden influx of fluid that the body may not be prepared to handle. The 12-inch height is a standard practice to ensure that the administration of the enema is both effective and gentle, minimizing potential for any adverse effects. Therefore, the selection of 12 inches as the correct height aligns with best practices in patient care, ensuring optimal delivery of the enema while maintaining patient safety and comfort.