Question

40 of 50
the nurse would recognize that which type of enema has the highest risk of water intoxication?
answer options

1. soapsuds
2. tap water
3. normal saline
4. hypertonic solution

rationale, strategy, reference, tip

Explanation:

Tap water is hypotonic. When used as an enema, it can be absorbed into the bloodstream in large amounts, potentially leading to water intoxication as it dilutes the body's electrolytes. Soapsuds enema mainly irritate the bowel for defecation. Normal saline is isotonic and does not cause significant fluid - electrolyte imbalances. Hypertonic solutions draw water out of the body rather than causing water intoxication.

Answer:

1. Tap water