The nurse encounters resistance when inserting the tubing into a client's rectum.

The nurse encounters resistance when inserting the tubing into a client's rectum.

• A. Stop the procedure and reassess
• B. Increase lubrication and push harder
• C. Ask the client to relax and run a small amount of fluid into the rectum
• D. Continue with no change

Answer: (C)

Resistance during insertion of rectal tubing is often due to voluntary guarding of the anal sphincter. The best approach is to help the patient relax and proceed gradually. Asking the client to relax reduces sphincter tension, making the passage easier and safer. Running a small amount of fluid into the rectum provides lubrication, may soften the area, and can encourage a gentle push of the tube forward without forcing it. This approach minimizes risk of injury and aligns with safe enema technique. Forcing the tube, increasing lubrication and pushing harder, or continuing without adjusting for the resistance can cause trauma or discomfort and is not appropriate in this moment.

Resistance during insertion of rectal tubing is often due to voluntary guarding of the anal sphincter. The best approach is to help the patient relax and proceed gradually. Asking the client to relax reduces sphincter tension, making the passage easier and safer. Running a small amount of fluid into the rectum provides lubrication, may soften the area, and can encourage a gentle push of the tube forward without forcing it. This approach minimizes risk of injury and aligns with safe enema technique. Forcing the tube, increasing lubrication and pushing harder, or continuing without adjusting for the resistance can cause trauma or discomfort and is not appropriate in this moment.