The home care client has a history of fecal impaction. Which does the nurse instruct the home health aide to complete to prevent another fecal impaction?
1. Provide the client with low-residue foods.
2. Notify provider for client abdominal pain.
3. Administer cleansing enema every 3 days.
4. Assist client to take additional fluids daily.
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4. The nurse instructs the home health aide to assist the client with increased daily fluids to facilitate bowel passage through the colon to prevent a fecal impaction. The nurse instructs the aide to encourage frequent sips of water and helps the client avoid dehydrating liquids with high-caffeine content.
1. The nurse instructs the aide to provide high-fiber foods to increase the stool bulk and thereby facilitate stool passage through the colon.
2. The nurse instructs the aide to report abdominal pain; however, abdominal pain is not a specific indicator of fecal impaction.
3. The nurse avoids instructing the aide to administer a cleansing enema on a regular basis to the client because frequent exogenous methods of stimulating bowel move-ments tend to keep clients dependent on these measures for regular bowel move-ments.
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1. Assessment 2. Planning 3. Implementation 4. Evaluating 5.
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While collecting data, the nurse suspects that a patient is experiencing renal calculi. What did the nurse assess to come to this conclusion? (Select all that apply.)
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