Difficulty: Medium
Average Score: 87%
Simulated
A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?
Correct answer
D
Rationale
The correct answer is D: Keep disposable undergarments clean and dry. This is the most appropriate action because it helps maintain the client's comfort and dignity by managing the fecal incontinence effectively. Providing clean and dry disposable undergarments helps prevent skin breakdown and infection.
Explanation for other choices:
A: Requesting lactulose is not necessary for managing fecal incontinence in this situation.
B: Placing an occlusive dressing over the client's buttocks every 8 hours is not recommended as it can lead to skin irritation and does not address the underlying issue of fecal incontinence.
C: Inserting a lubricated rectal tube is invasive and unnecessary for managing fecal incontinence in this case.
E, F, G: No information provided.
Explanation for other choices:
A: Requesting lactulose is not necessary for managing fecal incontinence in this situation.
B: Placing an occlusive dressing over the client's buttocks every 8 hours is not recommended as it can lead to skin irritation and does not address the underlying issue of fecal incontinence.
C: Inserting a lubricated rectal tube is invasive and unnecessary for managing fecal incontinence in this case.
E, F, G: No information provided.