The nurse is preparing to administer a rectal suppository.
In what position should the nurse place the client?

Choice A rationale

The Sims position, also known as left lateral position with the right knee flexed, is ideal for rectal suppository administration. This position allows for optimal visualization and access to the anus, while gravity aids in the retention of the suppository by minimizing premature expulsion.

Choice B rationale

The dorsal recumbent position, where the patient lies on their back with knees flexed and feet flat on the bed, is not optimal for rectal suppository administration. This position makes rectal access difficult and does not utilize gravity to aid in suppository retention, potentially leading to discomfort.

Choice C rationale

The prone position, where the patient lies on their stomach, is not suitable for rectal suppository administration. This position severely limits access to the rectal area, making insertion difficult and uncomfortable for both the patient and the nurse.

Choice D rationale

The supine position, where the patient lies flat on their back, is not ideal for rectal suppository administration. Similar to dorsal recumbent, this position makes adequate visualization and comfortable access to the anus challenging, potentially increasing patient discomfort and insertion difficulty.

Choice A rationale

Positioning a school-aged child in the supine position with the head tilted backward during nose drop administration allows gravity to assist the medication in flowing into the nasal cavity and reaching the intended mucosal surfaces. This anatomical alignment ensures optimal distribution and absorption of the drug, maximizing its therapeutic effect on the nasal passages.

Choice B rationale

Instructing the child to breathe deeply through the nose immediately after drop insertion could cause the medication to be inhaled into the lungs or swallowed, reducing its intended topical effect on the nasal mucosa. Proper technique involves maintaining the head position for a few moments to allow absorption.

Choice C rationale

Returning unused nose drops from the dropper to the medication bottle is an unsafe practice that can lead to contamination of the entire medication supply. The dropper tip, once it has touched the patient's nostril, is no longer sterile and can introduce microbes into the sterile solution.

Choice D rationale

Positioning the tip of the medication dropper within a nostril can cause discomfort, irritation, or even injury to the delicate nasal mucosa. The dropper should be held just above the nostril, allowing the drops to fall into the nasal passage without direct contact, ensuring patient safety and comfort.