Care Manager Certification Practice Exam

What is the appropriate position for a client receiving a soapsuds enema?

1. Supine position

2. Right lateral position

3. Left Sims' position

4. Prone position

The correct answer is: Left Sims' position

The correct choice emphasizes the importance of the left Sims' position for a client receiving a soapsuds enema. This position is beneficial because it facilitates the flow of the enema solution by utilizing gravity and allows for better rectal relaxation, which can help in administering the enema more effectively. In the left Sims' position, the client lies on their left side with their right knee bent and brought up towards the chest. This positioning not only helps in the retention of the solution but also promotes comfort and minimizes the risk of complications during the procedure. Additionally, positioning in this manner aids any necessary visualization for the care manager during the administration of the enema, ensuring a safer and more efficient process. When considering the other options, the supine position does not provide the same advantages related to gravity and rectal relaxation. The right lateral position may be less effective for the flow of the enema solution. The prone position is generally not suitable for administering enemas because it can hinder the complete delivery of the solution and discomfort for the client.