Which of the following clients is at greatest risk for serious complications when using the Valsalva manoeuvre to expel feces?
a. A 25-year-old pregnant client
b. A 66-year-old male client with hypertrophied prostate disease
c. A 44-year-old male client with glaucoma
d. A 53-year-old female client with stomach cancer
C
Clients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greatest risk of serious complications (such as cardiac irregularities and elevated blood pressure) with this manoeuvre, and need to avoid straining to pass the stool.
Although use of the Valsalva manoeuvre may contribute to hemorrhoids in pregnancy, this is not as serious as increasing the intraocular pressure of a client with glaucoma.
The Valsalva manoeuvre is not contraindicated in a client with hypertrophied prostate disease.
The Valsalva manoeuvre is not contraindicated in a client with stomach cancer.
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