An 81-year-old client has developed a fecal impaction while convalescing at home after hip surgery. Which of the following corrective actions should the nurse undertake?
A) Manually remove the feces with a gloved finger.
B) Assist the client to sit on the commode to facilitate stool passage.
C) Break up the impaction with external abdominal massage.
D) Insert a flatus bag to prevent entrance of air into the rectum
A
Feedback:
An oil retention enema may be prescribed to assist with an impaction. The stool must be removed (gently) as impaction must be removed for the client to be able to vacate their bowels. Internal massage may stimulate a movement; a bag will not assist with the evacuation of the bowel.
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