A client who is quadriplegic following a motor vehicle accident adheres to a bowel protocol to promote regular bowel movements and prevent constipation
Which of the following actions performed by the client's caregiver is likely to promote defecation?
A) Digital stimulation of the client's rectum
B) Massage of the client's abdomen
C) Sitting the client in an upright position
D) Administration of large amounts of free water
Ans: A
Feedback:
When the nerve endings in the rectum are stimulated, signals are transmitted first to the sacral cord and then reflexively back to the descending colon, sigmoid colon, rectum, and anus by the pelvic nerves. These impulses greatly increase peristaltic movements as well as relax the internal sphincter, resulting in defecation. Massage, increased fluid intake, and upright positioning are less likely to promote defecation.
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