Which patient would require special precautions when the nurse is ...

[leilurhhh]

Which patient would require special precautions when the nurse is performing a digital rectal exam?
 
  a. Patient with chronic obstructive pulmonary disease (COPD)
  b. Patient with diabetes
  c. Patient with Parkinson disease
  d. Patient with congestive heart failure

Question 2

What would be the most effective action of the nurse when assisting an 85-year-old adult with weak abdominal muscles to defecate?
 
  a. Encourage the use of a bedpan before getting up in the morning.
  b. Place a footstool under the feet of the patient when seated on the toilet.
  c. Insert a finger in the patient's rectum to stimulate the urge to defecate.
  d. Instruct the patient to do isometric exercises to strengthen the abdominal muscles.

[jxjsniuniu]

Answer to Question 1

ANS: D
Persons with a cardiac history may experience vagal stimulation and have a sudden drop in heart rate, resulting in syncope.

Answer to Question 2

ANS: B
Placement of a stool under the patient's feet increases intra-abdominal pressure and encourages bearing down (Valsalva maneuver) to accomplish defecation.

[leilurhhh]

Thanks for the timely response, appreciate it

[jackie]

TYSM