A patient with a fecal impaction has an order to remove stool digitally. In which order will the nurse perform the steps, starting with the first one?
1. Obtain baseline vital signs.
2. Apply clean gloves and lubricate.
3. Insert index finger into the rectum.
4. Identify patient using two identifiers.
5. Place patient on left side in Sims' position.
6. Massage around the feces and work down to remove.
a. 4, 1, 5, 2, 3, 6
b. 1, 4, 2, 5, 3, 6
c. 4, 1, 2, 5, 3, 6
d. 1, 4, 5, 2, 3, 6
ANS: A
The steps for removing a fecal impaction are as follows: identify patient using two identifiers; obtain baseline vital signs; place on left side in Sims' position; apply clean gloves and lubricate; insert index finger into the rectum; and gently loosen the fecal mass by massaging around it and work the feces downward toward the end of the rectum.
You might also like to view...
Hypothyroidism is a condition that is most common among older women. The physical condition of hypothyroidism is often confused with
a. Degenerative joint disease b. Congestive heart failure c. Emphysema d. Characteristics of aging
The nurse is assessing a 73-year-old patient who was diagnosed with metastatic prostate cancer. The nurse notes that the patient is exhibiting signs of loss, grief, and intense sadness
Based on this assessment data, the nurse will document that the patient is most likely in what stage of death and dying? A) Depression B) Denial C) Anger D) Resignation
A patient with cystitis is receiving phenazopyridine (Pyridium) for pain and is voiding a bright red-orange urine. What should the nurse do?
a. Report this immediately b. Explain to the patient that this is normal c. Increase fluid intake d. Collect a specimen
Which of the following information regarding the transmission of lice would the nurse identify as a myth?
A) Lice can be spread by sharing of hats, caps, and combs. B) Lice can jump from one individual to another. C) Lice need to be removed from the hair with a fine comb. D) Lice can be seen without magnification.