Asked by Victoria Fischer on May 08, 2024
Verified
Which assessment finding leads the nurse to conclude that digital disimpaction of stool is unsafe for the patient?
A) The patient has a large mass of hard,dry stool in the rectum.
B) The patient has not had a bowel movement for the last 6 days.
C) The patient's pulse is 50 beats/minute due to a history of heart block.
D) The patient has taken senna every morning for the last 3 days.
Digital Disimpaction
A manual procedure to remove fecal impaction from the rectum, typically used when a patient is experiencing severe constipation.
Heart Block
A condition in which the electrical signals in the heart are partially or completely blocked, affecting the heart's ability to beat properly.
- Assess and manage constipation, including identifying contraindications for specific interventions.
Verified Answer
MJ
Melissa JacksonMay 14, 2024
Final Answer :
C
Explanation :
Digital removal of stool from the rectum can cause lowering of the heart rate due to stimulation of the vagus nerve.Patients with bradycardia can experience dangerously low heart rates due to vagal stimulation.Presence of hard,dry stool in the rectum,use of senna,and no bowel movement for the last 6 days are not contraindications for digital removal of stool.
Learning Objectives
- Assess and manage constipation, including identifying contraindications for specific interventions.
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