Problem: Client Situation for Documentation: Mrs. M.C. is having surgery in the AM. The physician has ordered a Foley catheter and cleansing enema at H.S. (hour of sleep) tonight. You insert at #16 Foley catheter and get 400 mL of dark amber urine. You give a soap suds enema and it takes 1,000 mL of solution before a clear return is noted.