California Certified Nursing Assistant (CNA) Practice Exam

A client who has not had a bowel movement in four days would benefit most from which intervention?

1. Dietary changes only

2. Medication adjustment

3. Enema

4. Increased fluid intake

The correct answer is: Enema

A client who has not had a bowel movement in four days may be experiencing constipation, and in this situation, administering an enema can provide immediate relief and stimulate bowel movements effectively. An enema introduces fluid into the rectum, which can soften the stool and encourage bowel evacuation, making it a direct intervention for addressing a significant delay in bowel function. While dietary changes, medication adjustments, and increased fluid intake can all contribute to improving overall bowel health over time, they might not provide the immediate relief needed for someone who is currently experiencing constipation. Dietary changes may take time to have an effect, and medication adjustments could require consultation and assessment that may delay relief. Increased fluid intake is beneficial for overall hydration and can promote bowel regularity, but for a person who hasn't had a bowel movement in several days, an enema would be a more immediate and effective solution to relieve discomfort and restore normal function.