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Title: A nurse is assessing a client with constipation and severe rectal pain. Which of the following ... Post by: Uyentrinh21 on Jan 18, 2018 A nurse is assessing a client with constipation and severe rectal pain. Which of the following actions should the nurse perform to determine the presence of fecal impaction?
A) Inserted a lubricated, gloved finger into the rectum. B) Facilitate a barium enema. C) Insert a lubricated rectal tube into the rectum. D) Administer an oil retention enema into the rectum. Title: A nurse is assessing a client with constipation and severe rectal pain. Which of the following ... Post by: Redroco10 on Jan 18, 2018 A
Feedback: The nurse should insert a lubricated, gloved finger into the rectum to determine the presence of fecal impaction. Fecal impaction occurs when a large, hardened mass of stool interferes with defecation. Obtaining a barium enema is not a good idea because the barium retained in the intestine causes fecal impaction. Insertion of a rectal tube and administration of an oil retention enema are measures used to remove hardened stool, not assess it. |