An older adult client who is immobile because of illness and who previously had normal bowel function has not had a normal stool for several days. The nurse would assess this client for impaction by noting whether the client has:
1. a soft, nondistended abdomen.
2. reddened skin around the anus.
3. continuous seepage of loose stool.
4. an absence of bowel sounds.
ANS: 3
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1. The nurse. 2. The social worker. 3. The physician. 4. The nurse manager.
A nurse has cleansed the infected wound of a middle-aged client. What is the first step nurses take in the orderly sequence for removing their garments?
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