A nurse is monitoring bowel elimination of a patient who has a history of constipation. The nurse implements measures to assist with bowel elimination if the patient has not had a bowel movement what would be the BEST option to try first?

Choice A Laxatives might be an option, but they should not be the first intervention. Other noninvasive measures should be tried first.

Choice B Administering a cleansing enema is not the first intervention for a patient having

trouble defecating into a bedpan. It is an invasive procedure and should be considered after less invasive measures have been tried.

Choice C Withholding pain medication might lead to unnecessary discomfort for the patient and is not the best approach to promote bowel movements.

Choice D Raising the head of the bed will help the patient assume a more upright position, which can facilitate bowel movement and defecation into the bedpan more effectively.

The correct answer is choice b. Insert the tip of the enema tube into the rectum pointing towards the umbilicus.

Choice A rationale:

Giving the enema while the patient sits on the toilet is incorrect because it can cause discomfort and does not allow for proper administration of the enema solution.

Choice B rationale:

Inserting the tip of the enema tube into the rectum pointing towards the umbilicus is correct because it follows the natural curvature of the rectum and colon, ensuring effective delivery of the solution.

Choice C rationale:

Having the patient lie on the right side is incorrect. The left lateral position is typically recommended for enema administration as it allows the solution to flow more easily into the sigmoid colon and descending colon.

Choice D rationale:

Chilling the water to a temperature between 75°F and 85°F is incorrect. The enema solution should be warmed to body temperature (around 99°F to 106°F) to avoid causing cramping or discomfort.