Asked by denise ortiz on May 09, 2024
Verified
A nurse is caring for an older patient with fecal incontinence caused by cathartic use.The nurse is most concerned about which complication that carries the greatest risk for severe injury?
A) Rectal skin breakdown.
B) Contamination of existing wounds.
C) Falls from attempts to reach the bathroom.
D) Cross-contamination into the upper GI tract.
Cathartic Use
The employment of a substance or activity that accelerates defecation, typically for therapeutic reasons.
Rectal Skin Breakdown
Damage or ulceration of the skin around the rectum, often due to prolonged pressure or moisture, leading to discomfort and risk of infection.
Fecal Incontinence
Inability to control bowel movements, leading to unintended passage of feces or stool.
- Pinpoint the risk determinants and physiological modifications affecting stool elimination.
Verified Answer
JP
Jamie PetersonMay 11, 2024
Final Answer :
C
Explanation :
The nurse is most concerned about the worst injury the patient could receive,which involves falling while attempting to get to the bathroom.To reduce injury,the nurse should clear the path to the bathroom and reinforce use of the call light.The question concerns the greatest risk of injury,not the most frequent occurrence or the event most likely to occur.
Learning Objectives
- Pinpoint the risk determinants and physiological modifications affecting stool elimination.