The client has a prescription for administering an enema. After preparing the equipment and solution, the nurse assists the client into which of the following positions?
1. Left-sided lateral Sims position
2. Right-sided lateral Sims position
3. Left side-lying, with the head of the bed elevated 45 degrees
4. Right side-lying, with the head of the bed elevated 45 degrees
1
Rationale: When administering an enema, the client is placed in a left-sided Sims position so that the enema solution can flow by gravity in the natural direction of the colon. The client is lying on his or her side, with the body turned approximately 45 degrees. The lower leg is extended, with the upper leg flexed at the hip and knee to a 45- to 90-degree angle. "Right-sided lateral Sims position," "left side-lying, with the head of the bed elevated 45 degrees," and "right side-lying, with the head of the bed elevated 45 degrees" are incorrect.
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