Question

an unlicensed assistive personnel (uap) places a client in a left lateral position prior to administering a soap suds enema. which instruction should the nurse provide the uap? a raise the side rails on both sides of the bed and elevate the bed to waist level. b reposition in a sims’ position with the client’s weight on the anterior ilium. c position the client on the right side of the bed in reverse trendelenburg. d fill the enema container with 1000 ml of warm water and 5 ml of castile soap.

Explanation:

The Sims' position (a modified left lateral position with the client's weight on the anterior ilium) is the optimal position for administering an enema because it allows for better access to the rectum and colon, facilitating the flow of the enema solution. Option A is incorrect as elevating the bed to waist level is for the nurse's comfort, not the client's positioning for the enema, and side rails are for safety but not the key correction here. Option C is wrong because the right side and reverse Trendelenburg are not appropriate for enema administration. Option D refers to enema solution preparation, not correcting the client's position.

Answer:

B Reposition in a Sims' position with the client's weight on the anterior ilium.