A Nurse Is Digitally Removing a Fecal Impaction from a Patient

question 28

Multiple Choice

A nurse is digitally removing a fecal impaction from a patient. The nurse should stop the procedure immediately and take corrective action if the patient's:

• A) blood pressure increases from 110/84 to 118/88 mm Hg.
• B) pulse rate decreases from 78 to 52 beats/min.
• C) respiratory rate increases from 16 to 24 breaths/min.
• D) temperature increases from 98.8° F to 99.0° F.

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