Author Question: A client asks the RN why it is more difficult to use a bedpan for defecating than sitting on the ... (Read 109 times)

sam.t96 · **on:** Jul 23, 2018

A client asks the RN why it is more difficult to use a bedpan for defecating than sitting on the toilet. Which of the following is the best response?

1. The sitting position decreases the contractions of the muscles of the pelvic floor.
2. The sitting position increases the downward pressure on the rectum, making it easier to pass stool.
3. The sitting position increases the pressure within the abdomen.
4. The sitting position inhibits the urge to urinate, allowing one to defecate.

Question 2

The nurse is determining tasks to delegate to UAP. Which task would not be appropriate for the nurse to delegate to this level of healthcare provider?

1. Measuring intake and output.
2. Assessing vital signs for clients who are clinically stable.
3. Performing complete morning care for a client recovering from a stroke.
4. Inserting a urinary catheter into a client.

KKcool · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Expulsion of the feces is assisted by contraction of the abdominal muscles and the diaphragm, which increases abdominal pressure, and by contraction of the muscles of the pelvic floor, which moves the feces through the anal canal.
Rationale 2: Normal defecation is facilitated by thigh flexion, which increases the pressure within the abdomen, and a sitting position, which increases the downward pressure on the rectum.
Rationale 3: Thigh flexion increases the pressure within the abdomen.
Rationale 4: The sitting position increases the downward pressure on the rectum.

Answer to Question 2

Correct Answer: 4
Rationale 1: This skill can be delegated to UAP.
Rationale 2: This skill can be delegated to UAP.
Rationale 3: This activity can be delegated to UAP.
Rationale 4: Due to the need for sterile technique and detailed knowledge of anatomy, insertion of a urinary catheter is not delegated to UAP.