Asked by Tobby Oniga on May 13, 2024
Verified
The nurse has been directed to provide an enema for an elderly female patient who has very poor rectal sphincter control.Which position is most appropriate for this patient?
A) Sims' position
B) Dorsal recumbent position on the bedpan
C) Sitting on the toilet
D) Right lateral position
Rectal Sphincter Control
The ability to regulate the opening and closing of the rectal sphincter, critical for bowel movement control.
Dorsal Recumbent Position
A patient positioning where the individual lies on their back with legs bent and feet flat, often used for abdominal assessments.
Sims' Position
A body position often used in medical and healthcare settings in which a patient lies on their left side with the right knee drawn up towards the chest, facilitating various medical procedures.
- Implement the correct patient positioning techniques for enema delivery and fecal impaction extrication.
- Exhibit an understanding of unique considerations in managing the bowels for distinct patient groups, such as children and the elderly.
Verified Answer
KA
Kiyah AdamsMay 15, 2024
Final Answer :
B
Explanation :
If the patient has poor sphincter control,position the patient on the bedpan in a comfortable dorsal recumbent position.Patients with poor sphincter control cannot retain all of the enema solution.Administering an enema with the patient sitting on the toilet is unsafe because curved rectal tubing can abrade the rectal wall.
Learning Objectives
- Implement the correct patient positioning techniques for enema delivery and fecal impaction extrication.
- Exhibit an understanding of unique considerations in managing the bowels for distinct patient groups, such as children and the elderly.