A nurse cares for a client who is recovering from a hemorrhoidectomy. The client states, "I need to have a bowel movement." Which action should the nurse take?
a. Obtain a bedside commode for the client to use.
b. Stay with the client while providing privacy.
c. Make sure the call light is in reach to signal completion.
d. Gather supplies to collect a stool sample for the laboratory.
ANS: B
The first bowel movement after hemorrhoidectomy can be painful enough to induce syncope. The nurse should stay with the client. The nurse should instruct clients who are discharged the same day to have someone nearby when they have their first postoperative bowel movement. Making sure the call light is within reach is an important nursing action too, but it does not take priority over client safety. Obtaining a bedside commode and taking a stool sample are not needed in this situation.
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