Which of the following are contraindications for administering a tap water enerna? (Select all that apply)

Rationale: A. Tap water enemas are hypotonic, and repeated or large-volume use can lead to hyponatremia or other electrolyte disturbances, particularly in infants, elderly clients, or those with renal or cardiac issues. B. Administering a tap water enema in a client with suspected appendicitis can increase intra-abdominal pressure, potentially causing perforation or worsening the condition. C. Tap water enemas can further disrupt fluid and electrolyte balance in clients who are already dehydrated, exacerbating their condition. D. Regular use of laxatives is not a strict contraindication for a tap water enema but may reduce its effectiveness over time due to bowel adaptation. E. Clients with recent bowel surgery or structural abnormalities are at higher risk for perforation or injury when receiving an enema. F. Tap water enemas are not indicated for clients with normal bowel function because they are unnecessary and can cause discomfort or dependence. G. While maintaining hydration is important, it does not contraindicate the use of a tap water enema; it may actually support bowel function.