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Zorluk: KolayBasic Care and Comfort

A client who has been experiencing constipation for several days is prescribed a large-volume cleansing enema. To best facilitate the flow of the enema solution by gravity into the descending colon, which position should the nurse assist the client into?

  1. Left side-lying with the right knee flexedCevap
  2. B
    Right side-lying with the left knee flexed
  3. C
    Supine with both knees bent and feet resting on the mattress
  4. D
    High Fowler's with both legs extended on the bed

Cevap

Left side-lying with the right knee flexed
Positioning the client on their left side with the right knee flexed (Sims' position) follows the natural anatomical curve of the large intestine. Because the descending colon is on the left side of the body, this position allows the enema solution to flow freely downward by gravity into the sigmoid and descending colon, improving fluid retention and promoting a more effective bowel movement.

Adım Adım Çözüm

1
Identify the anatomical structure of the lower gastrointestinal tract.
The descending colon is located on the left side of the client's abdomen, leading down into the sigmoid colon and rectum.
Anatomical knowledge dictates how gravity will affect the flow of instilled fluids.
2
Evaluate how gravity interacts with the client's position during the procedure.
Lying on the left side places the descending colon in a dependent (lower) position relative to the rectum.
Gravity will assist the enema solution in flowing deeper into the colon, maximizing fluid retention and the effectiveness of the bowel cleanse.

Anahtar Kavram

Client Positioning for Enema Administration
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Konular

Basic Care and Comfort

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