A nurse cares for a client with a lower motor neuron injury who is experiencing a flaccid bowel elimination pattern. Which actions should the nurse take to assist in relieving this client's constipation? (Select all that apply.)
a. Pour warm water over the perineum.
b. Provide a diet high in fluids and fiber.
c. Administer daily tap water enemas.
d. Implement a consistent daily time for elimination.
e. Massage the abdomen from left to right.
f.
Perform manual disimpaction.
ANS: B, D, F
For the client with a lower motor neuron injury, the resulting flaccid bowel may require a bowel program for the client that includes stool softeners, increased fluid intake, a high-fiber diet, and a consistent elimination time. If the client becomes impacted, the nurse would need to perform manual disimpaction. Pouring warm water over the perineum, administering daily enemas, and massaging the abdomen would not assist this client.
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