A client with chronic fecal incontinence is crying because of being embarrassed for not getting to the bathroom in time to avoid soiling the bed and clothing. When establishing a bowel training regimen, which intervention should the nurse implement?

A. Encourage the use of incontinence briefs: While briefs provide protection and maintain hygiene, they do not promote bowel control or help the client regain continence. This intervention is supportive but does not actively address bowel training goals. B. Insert a rectal tube at specified intervals: Rectal tubes are invasive and typically reserved for acute, severe cases of fecal retention or obstruction. Routine use for bowel training is inappropriate and can cause discomfort or complications. C. Administer a glycerin suppository 15 minutes after meals: Suppositories can stimulate bowel movements, but timing is crucial. Administering immediately after meals may not coincide with the client’s natural gastrocolic reflex, reducing effectiveness and cooperation with the training regimen. D. Assist to a bedside commode 30 minutes after meals: This intervention leverages the gastrocolic reflex, which naturally increases bowel motility after eating. Assisting the client to the commode at this time supports regular, predictable bowel movements and is a central strategy in establishing a bowel training program.