Which nursing intervention is most effective in promoting normal defecation for a patient who has muscle weakness in the legs that prevents ambulation?

A) Elevating the head of the bed 45 degrees 60 minutes after breakfast.
B) Using a mobility device to place the patient on a bedside commode.
C) Giving the patient a pillow to brace against the abdomen while bearing down.
D) Administering a soapsuds enema every 2 hours.

Question

Zainab Shahid · Accepted Answer

Final Answer : B, Explanation :  The best way to promote normal defecation is to assist the patient into a posture for defecating that is as normal as possible.The use of a mobility device promotes nurse and patient safety.Elevating the head of the bed would be appropriate if the patient were to void with a bedpan.However,the patient's condition does not necessitate use of a bedpan.Giving the patient a pillow may reduce discomfort,but this is not the best way to promote defecation.A soapsuds enema is indicated for a patient who needs assistance to stimulate peristalsis.It promotes nonnatural defecation.

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