Qualified Medication Aides (QMA) Practice Exam

In what position should you place a resident for administering an enema?

1. Right lateral position

2. Left Sims position

3. Sitting upright

4. Supine position

The correct answer is: Left Sims position

The correct choice is the left Sims position, which is the recommended position for administering an enema. This position involves the resident lying on their left side with their right knee bent and brought up toward the chest. This positioning facilitates the flow of the enema solution into the rectum and colon, allowing for better absorption and effectiveness. Being in the left Sims position promotes relaxation of the anal sphincter, which can help reduce discomfort during the procedure and allow for easier passage of the solution. It also aligns the rectum in a way that minimizes resistance, making it more efficient for the solution to reach the intended areas of the bowel. Other positions, such as lying supine, may not provide the same level of comfort or effectiveness for an enema. Similarly, sitting upright can create additional pressure on the abdomen and make it difficult for the fluid to flow properly. The right lateral position is not the best alignment for administering an enema, as it does not suit the natural anatomy of the rectum as well as the left Sims position does. Understanding these nuances ensures proper technique and comfort for the resident.