Asked by Cathrina Paris on May 27, 2024
Verified
The nurse has attempted to administer a tap water enema for a patient with fecal impaction with no success. The fecal mass is too large for the patient to pass voluntarily. Which is the next\bold{next}next priority nursing action?
A) Preparing the patient for a second tap water enema
B) Obtaining an order for digital removal of stool
C) Positioning the patient on the left side
D) Inserting a rectal tube
Digital Removal
A medical procedure involving the manual extraction of feces from the rectum, often used in cases of severe constipation.
Fecal Impaction
Accumulation of hardened fecal material in the rectum or sigmoid colon.
Tap Water Enema
A procedure involving the introduction of tap water into the colon through the rectum to stimulate bowel movement and relieve constipation.
- Gain an understanding of the key principles and techniques required for the effective administration of enemas and the handling of fecal impactions.
- Support and ensure patient comfort and safety during the elimination of bowel processes.
Verified Answer
SS
Saige SerignyJun 01, 2024
Final Answer :
B
Explanation :
When enemas are not successful, digital removal of the stool may be necessary to break up pieces of the stool or to stimulate the anus to defecate. Tap water enemas should not be repeated because of risk of fluid imbalance. Positioning the patient on the left side does not promote defecation. A rectal tube is indicated for a patient with liquid stool incontinence or flatus but would not be applicable or effective for this patient.
Learning Objectives
- Gain an understanding of the key principles and techniques required for the effective administration of enemas and the handling of fecal impactions.
- Support and ensure patient comfort and safety during the elimination of bowel processes.