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You are caring for a 76 year-old woman admitted to the hospital with abdominal pain. She...

You are caring for a 76 year-old woman admitted to the hospital with abdominal pain. She has a history of metastatic cancer. For the last few weeks she has been receiving narcotic medication to control her back pain. Her appetite is poor and she spends most of the day in bed. At change of shift report, you learn that she has not had a bowel movement for 7 days and she has an enema ordered.

Examine factors that could contribute to the patient's constipation.

What interventions may be taken to alleviate constipation?  

If those interventions are not effective, what type of enema may be used for this patient?

Describe processes for administering a small and large volume enema?

Identify precautions for each.

Does this patient have an increased risk for a UTI? Why?

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