Question

the nurse is caring for a client with rectal bleeding. the nurse will place the client into which position to facilitate rectal examination?

• prone
• supine
• sims
• fowlers

Explanation:

Identify the purpose of the positioning

The clinical objective is to perform a rectal examination on a client presenting with rectal bleeding. The ideal position must provide optimal visualization and access to the perianal and rectal area while ensuring patient comfort and safety.

Evaluate the options based on clinical standards

Using the Patient Positioning knowledge point:

• Prone: The client lies flat on their abdomen. This is not standard or comfortable for a routine bedside rectal examination.
• Supine: The client lies flat on their back. This does not allow access to the rectal area.
• Sims': The client lies on their side (usually left) with the upper leg flexed at the hip and knee. This position provides excellent exposure of the anus and rectum, making it the standard position for rectal examinations, enemas, and suppository administration.
• Fowler's: Using the Fowlers Position knowledge point:

The client is seated with the head of the bed elevated 45 to 60 degrees. This position is used for respiratory promotion or eating, not for rectal access.

Select the correct position

The Sims' position is the most appropriate and standard clinical choice to facilitate a rectal examination.

Answer:

• prone
• supine
• Sims' (Correct answer)
• Fowler's