Editing Fundamentals of Nursing – LPN Practice Questions (section)

==Question 5==
The licensed practical nurse is preparing to administer a cleansing enema. Which position should the patient be placed in?
# Left lateral Sims position with the upper leg flexed.
# Right lateral position with both legs extended.
# High Fowler position.
# Prone position with the head turned to the side.

'''Answer:''' 1. Left lateral Sims position with the upper leg flexed.

''Rationale:'' The left lateral Sims position uses gravity and follows the anatomic curve of the sigmoid and descending colon, allowing the solution to flow and be retained. The tip is lubricated and inserted about 7.5 to 10 centimeters (3 to 4 inches) in an adult, directed toward the umbilicus, and the solution is instilled slowly. Options 2, 3, and 4 do not follow the colon's anatomy, reduce retention, and increase discomfort and the chance of the solution being expelled immediately.