A Nurse Is Assessing a Client with Constipation and Severe

question 33

Multiple Choice

A nurse is assessing a client with constipation and severe rectal pain. Which of the following actions should the nurse perform to determine the presence of fecal impaction?

• A) Inserted a lubricated, gloved finger into the rectum.
• B) Obtain a sharp intestinal x-ray.
• C) Insert a lubricated rectal tube into the rectum.
• D) Administer an oil retention enema into the rectum.

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Definitions:

Displace

To move or shift something from its usual or proper place, often resulting in a change of position or role.

State Legislation

Laws and regulations enacted by the legislative bodies of individual states within a federal system.

Federal Legislation

Laws passed by the national legislature of the United States, the Congress, which apply throughout the country.

Necessary

An essential requirement or condition that must be met or possessed for a particular purpose or outcome.