• Hold tubing in rectum constantly • Bowel constriction can cause

until end of fluid instillation expulsion of rectal tube.

• Explain that feeling of distension is
normal • Solution distends the bowel
• Advice patient to retain solution • Enhance effective stimulation
for 15-20 minutes of peristalsis
• Replace enema can and tubing in • To have good results
proper receptacle after thorough
washing • To prevent hyperextension of
• Raise clients head about 30 back
degrees
• Ask patient to raise hip after • To position bedpan
bending knees and lifting the hips
upward
• The nurse places a hand or palm • To allow placing bedpan easily
under clients sacrum ,resting the
elbow on the mattress and using
as a lever to help in lifting while
slipping pan under client