A client tells the nurse of the inability to have a bowel movement even after the administration of laxatives and an enema. Based on this information, what are the anticipated symptoms in the client with fecal impaction?
1 . Severe abdominal discomfort
2 . Soft abdomen
3 . Feeling of pressure
4 . Rectal examination reveals a hard or putty-like mass
A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4
C
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Symptoms of fecal impaction include severe abdominal discomfort, a hard abdomen, and a feeling of pressure. The person often feels the urge to defecate, but is unable to do so, or is unable to empty the bowel completely. Diarrhea also may be a symptom, with liquid stool leaking out around the impaction. In fecal impaction, a rectal examination reveals a hard or putty-like mass.
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