Which sequence correctly describes how to administer a rectal suppository?

• A. Expose the buttocks; hold, insert past sphincter; retain 1-2 minutes; wipe and discard tissues; wash hands; document
• B. Lubricate the outer area and gently insert, then remove immediately
• C. Place suppository in mouth and swallow
• D. Insert while patient standing with no retention

Answer: (D)

The correct way to administer a rectal suppository centers on ensuring the medication stays in place long enough to melt and be absorbed. Start by confirming the order and gathering supplies, then have the patient in a position that supports retention—typically lying on the left side with the upper knee flexed (Sims position) to relax the anal sphincter. Expose the area briefly, maintain privacy, and put on gloves. Lightly lubricate the suppository or your gloved finger. Gently insert the suppository past the anal sphincter, about one inch (roughly 2.5 cm) for an adult, and then encourage the patient to remain on their side for several minutes so it can be retained and begin to dissolve. Afterward, wipe away any excess lubrication, discard used tissues, perform hand hygiene, and document the administration with time, medication, route, and any patient response or issues. Inserting while standing and not allowing for retention is not ideal because it increases the chance of expulsion and reduces absorption. Placing the suppository in the mouth or attempting to swallow it is not appropriate for rectal administration.