Since starting school 2 weeks ago, a child has been experiencing encopresis and has abdominal pain and cramping without abdominal distention. The nurse should prepare the client for which of these procedures?

a. enemas
b. antibiotic therapy
c. a fecal smear
d. upper and lower gastrointestinal (GI) barium studies


A
Constipation is the infrequent or difficult passage of hard, dry stools. Chronic constipation causes an enlarged rectum and results in encopresis. Abdominal pain and cramping without distention; palpable, movable fecal mass; a large amount of stool inside the rectum; diarrhea; malaise; anorexia; and headache are common symptoms. Immediate care may include the administering of an enema. Encouraging the child to sit on the toilet for 10 minutes approximately 30 minutes after meals will encourage regular bowel habits.

Nursing

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