Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test

Which stimulation method should be avoided when assisting a patient with bowel training for fecal incontinence?

1. Digital stimulation

2. Mini enema

3. Enema

4. Suppository

The correct answer is: Enema

When assisting a patient with bowel training for fecal incontinence, it is important to choose stimulation methods that promote regular bowel movements without causing undue stress or harm to the patient. In this context, using an enema may not be the best option. Enemas are often used to initiate a bowel movement but can lead to dependency if used too frequently. Over-reliance on enemas might disrupt the natural bowel function, making it harder for the patient to develop their own regular patterns and techniques for managing incontinence. Furthermore, enemas can sometimes irritate the rectal mucosa or lead to complications such as electrolyte imbalances or rectal perforation, especially if not administered properly. Other options, such as digital stimulation, mini enemas, and suppositories, can be more suitable in specific circumstances for encouraging bowel movements while allowing for a gradual reestablishment of control and normal function. These methods can help in training the bowel without creating a dependency that could undermine the patient's self-management capabilities in the long term.