What should the RN instruct the LPN to do if an enema has not resulted in clear returns after three attempts?

When an enema has not resulted in clear returns after three attempts, the registered nurse should instruct the licensed practical nurse to stop administering the enemas. Persisting with enemas in this situation could lead to complications such as electrolyte imbalances, dehydration, or discomfort for the patient.

Stopping the enemas allows for reassessment of the patient's condition and can help avoid potential harm. It may be necessary to investigate further to understand the reason behind the lack of clear returns, which could include considering bowel obstruction, dietary factors, or other underlying issues requiring more in-depth evaluation. This approach ensures that patient safety is prioritized and appropriate interventions can be planned.