The practical nurse (PN) is administering a saline enema to a client who was admitted because of a fever of unknown origin and is now constipated. Which techniques should the PN use? (Select all that apply.)

Encourage client to retain solution for at least 5 minutes.

Position client in left lateral recumbent position to expose buttocks.

Insert lubricated tip of tubing 3 to 4 inches into the rectum.

Clamp enema administration tubing after filling enema bag.

Chill the enema solution to help reduce the client's fever.