An 81-year-old client has developed a fecal impaction while ...

[gbarreiro]

An 81-year-old client has developed a fecal impaction while convalescing at home after hip surgery. Which of the following corrective actions should the nurse undertake?
 
  A) Manually remove the feces with a gloved finger.
  B) Assist the client to sit on the commode to facilitate stool passage.
  C) Break up the impaction with external abdominal massage.
  D) Insert a flatus bag to prevent entrance of air into the rectum

Question 2

A group of young student nursing assistants is getting clinical experience at a nursing home. In her introductory meeting with this group, the supervising nurse determines that the students harbor some misconceptions about the elderly.
 
  Four of the students' comments are listed below. Three of them are misconceptions about the elderly. Which comment is true? A) Most old people are sick or disabled
  B) Most seniors have a private pension plan
  C) Senility comes with old age
  D) Old people are still interested in sex

[pikon]

Answer to Question 1

A
Feedback:
An oil retention enema may be prescribed to assist with an impaction. The stool must be removed (gently) as impaction must be removed for the client to be able to vacate their bowels. Internal massage may stimulate a movement; a bag will not assist with the evacuation of the bowel.

Answer to Question 2

D
Feedback:
Most old people are well, only a small minority are senile, and only a minority have income from a private pension plan. Many retain a healthy interest in sex.

[gbarreiro]

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[cam1229]

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