The nurse knows that the best way to clean around a colostomy stoma is to use the following

Choice A The supine position (lying flat on the back) is not suitable for administering an enema as it does not facilitate proper flow and retention of the solution.

Choice B High Fowler's position (sitting upright at a 90degree angle) is not appropriate for enema administration, as it might cause discomfort and hinder proper administration.

Choice C Semi Fowler's position (sitting at a semiupright angle) is also not the best option for enema administration, as it may not allow the solution to flow effectively.

Choice D The Sims position, with the patient lying on the left side with the right knee flexed, allows the enema solution to flow downward by gravity and improves retention. It is the best position for enema administration.

Choice A Depending on laxatives or stool softeners every day may lead to dependence and can be harmful in the long term. It is not a preferred approach for managing constipation.

Choice B While eating smaller, more frequent meals can aid digestion, it is not the primary strategy for preventing constipation.

Choice C : Increasing dietary fiber intake is an effective way to promote regular bowel

movements and prevent constipation. Gradually increasing fiber intake helps the body adjust to the increased fiber load.

Choice D Adequate fluid intake is important for bowel health, but focusing solely on fluid intake may not be as effective as increasing dietary fiber to prevent constipation.