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?

Choice A reason: Inserting a rectal tube at specified intervals is not appropriate for long-term bowel training. Rectal tubes are used for temporary relief of severe incontinence or diarrhea but do not promote independence or establish a routine. Choice B reason: Encouraging the use of incontinence briefs may help manage accidents, but it does not address the underlying issue or promote bowel control. This option focuses on containment rather than rehabilitation. Choice C reason: Administering a glycerin suppository after meals may stimulate bowel movements, but it is not the most effective or natural method for establishing a bowel training regimen. Suppositories are better reserved for occasional constipation rather than routine training. Choice D reason: Assisting the client to a bedside commode 30 minutes after meals is the correct intervention because it takes advantage of the gastrocolic reflex, which stimulates bowel activity after eating. This approach helps establish a predictable routine, promotes continence, and restores dignity by reducing accidents. It is the most effective strategy for bowel training in chronic fecal incontinence.