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Zorluk: KolayBasic Care and Comfort

The nurse is preparing to administer a prescribed large-volume cleansing enema to an adult client to relieve severe constipation. To promote comfort and facilitate the downward flow of the solution into the sigmoid colon, in which position should the nurse place the client?

  1. Left lateral with the right knee flexedCevap
  2. B
    Supine with the head of the bed elevated 45 degrees
  3. C
    Right lateral with the left knee flexed
  4. D
    Prone with a pillow placed under the pelvis

Cevap

The left lateral position with the right knee flexed (Sims' position).
The left lateral position with the right knee flexed (often referred to as Sims' position) allows the enema solution to flow by gravity into the natural anatomical curve of the sigmoid and descending colon, which are located on the left side of the lower abdomen. This promotes fluid retention, reduces cramping, and maximizes the effectiveness of the procedure.

Adım Adım Çözüm

1
Analyze the anatomical route of the lower gastrointestinal tract.
The rectum connects to the sigmoid colon, which transitions into the descending colon on the left side of the abdomen.
Understanding anatomy is necessary to determine how gravity will affect the flow of instilled fluids.
2
Determine which client position utilizes gravity to assist the flow of fluid into these specific bowel structures.
Positioning the client on their left side allows gravity to pull the fluid downward into the descending colon.
Gravity promotes the safe and comfortable retention of the enema solution without causing excessive cramping or leakage.
3
Select the correct procedural position.
The left lateral position with the right knee flexed (Sims' position) is identified as the standard of care.
This position provides optimal anatomical alignment and exposure for safe insertion while maximizing client comfort.

Anahtar Kavram

Client Positioning for Enema Administration
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Konular

Basic Care and Comfort

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