An 84-year-old man who resides in a long-term care facility has recently become incontinent of bowel, a situation that is without precedent. What is the nurse's priority for assessment?
A) Review of the man's medication regimen
B) Assessment for the presence of fecal impaction
C) Assessment for changes to the man's cognitive status
D) Examination of the man's stool for frank and occult blood
B
Feedback:
The priority for assessment of a client with bowel incontinence is assessment for the presence of an impaction. This would supersede the immediacy of reviewing his medications, assessing his cognition, and examining stool for blood.
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