Author Question: When evaluating a health care team member's ability to digitally remove feces, the nurse determined ... (Read 156 times)

berenicecastro · **on:** Jun 25, 2018

When evaluating a health care team member's ability to digitally remove feces, the nurse determined that further teaching is required in which of the following situations?

a. Staff member provides perianal skin care.
b. Staff member continues the procedure if bleeding starts.
c. Staff member follows the procedure by offering the patient the bedpan.
d. Staff member discontinues the procedure in the presence of bradycardia.

Question 2

The nurse is caring for a patient who needs a blood transfusion. The patient has been tested and was found to have blood type O. The nurse knows this means that which antigen is present on the surface of the red blood cells?

a. The type A antigen is present.
b. The type B antigen is present.
c. Neither type A nor type B antigens are present.
d. Both type A and type B antigens are present.

mammy1697 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
If the patient experiences bleeding from the rectum, the anal and perianal regions should be assessed to locate the source of the bleeding. Observe for the presence of perianal skin irritation. The presence of such indicates the need for postprocedure skin care to the perianal region to reduce pain during subsequent bowel elimination. After the procedure, assist the patient to the toilet or onto a clean bedpan. Removal of impaction stimulates the defecation reflex. The sacral branch of the vagus nerve is stimulated during digital stimulation; this may result in reflex slowing of the heart rate. Stop the procedure and retake vital signs.

Answer to Question 2

C
When neither A nor B antigens are present, the blood group is type O. When the type A antigen is present, the blood group is type A. When the type B antigen is present, the blood group is type B. When both A and B antigens are present, the blood group is type AB.