The nurse exercises caution during the digital removal of feces for a client with:

A
A. Because of the potential to stimulate the sacral branch of the vagus nerve, clients with a history of dysrhythmia or heart disease have a greater risk of changes in heart rhythm. Be sure to monitor client's pulse before and during procedure. This procedure may be contraindicated in cardiac clients; if in doubt, verify with physician.
B. Symptoms of fecal impaction include constipation, rectal discomfort, anorexia, nausea, vomiting, abdominal pain, diarrhea (around the impacted stool), and urinary frequency.
C. Symptoms of fecal impaction include urinary frequency, not infection.
D. Symptoms of fecal impaction include constipation, rectal discomfort, anorexia, nausea, vomiting, abdominal pain, diarrhea (around the impacted stool), and urinary frequency, not diabetes mellitus.