While preparing to insert a rectal suppository in a male adult client, what instruction should the nurse give?

While preparing to insert a rectal suppository in a male adult client, what instruction should the nurse give?

• A. Have the client hold his breath and bear down
• B. Instruct the client to take slow deep breaths and stop bearing down
• C. Exhale quickly and then inhale
• D. Instruct the client to push with all his strength

Answer: (B)

During rectal suppository insertion, the aim is to minimize pressure and keep the pelvic muscles relaxed. Instruct the client to take slow, deep breaths and stop bearing down. This relaxed breathing helps loosen the anal sphincter and pelvic floor, making insertion easier and reducing the urge to defecate. Avoid holding the breath or pushing with force, because the Valsalva maneuver increases intra-abdominal and intrathoracic pressure, can cause dizziness or discomfort, and makes insertion more difficult. Exhaling slowly while the suppository is placed supports a calmer, smoother process and helps the patient retain the suppository.

During rectal suppository insertion, the aim is to minimize pressure and keep the pelvic muscles relaxed. Instruct the client to take slow, deep breaths and stop bearing down. This relaxed breathing helps loosen the anal sphincter and pelvic floor, making insertion easier and reducing the urge to defecate. Avoid holding the breath or pushing with force, because the Valsalva maneuver increases intra-abdominal and intrathoracic pressure, can cause dizziness or discomfort, and makes insertion more difficult. Exhaling slowly while the suppository is placed supports a calmer, smoother process and helps the patient retain the suppository.