An older adult client who is wheelchair bound following a ...

[casperchen82]

An older adult client who is wheelchair bound following a cerebrovascular accident is being assessed by the nurse. The nurse notes the client has seepage of stool from the anus. The nurse knows this is indicative of:
 
  A) constipation.
  B) diarrhea.
  C) fecal impaction.
  D) intestinal infection.

Question 2

The nurse understands that which client diversion is considered a continent ostomy?
 
  A) Colostomy
  B) Ileostomy
  C) Ileal conduit
  D) Ileoanal

[SamMuagrove]

Answer to Question 1

Ans: C
Feedback:
The nurse should suspect a fecal impaction when there is a history of absence of a regular bowel movement for several days (35 days or more), followed by the passage of liquid or semi-liquid stool.

Answer to Question 2

Ans: D
Feedback:
A continent fecal diversion is the ileoanal diversion. With this type of diversion, feces can be drained at the client's convenience rather than having it continually draining into an external pouch, as occurs in the traditional ileostomy or colostomy.

[casperchen82]

Excellent

[dyrone]

Gracias!