What is a potential complication of excessive enema administration?

Excessive enema administration can lead to significant electrolyte disturbances, which is why this choice is correct. When multiple enemas are given, particularly if they contain substances like phosphate or soap, they can extract fluids and electrolytes from the body, leading to imbalances. This can manifest as conditions such as hypernatremia or hypokalemia, which may have serious health implications such as cardiac arrhythmias or neurological changes.

While dehydration, constipation, and abdominal cramping can certainly occur with enema use, they are typically secondary consequences rather than direct results of excessive administration. Dehydration might result from electrolyte imbalances or excessive fluid loss, constipation could be a result of bowel irritation, and cramping often occurs during or after the enema process due to the sudden introduction of fluid into the intestine. However, the primary and most immediate risk involved with the overuse of enemas is the potential for detrimental changes in electrolyte balance.