Difficulty: Medium
Average Score: 72%
Simulated
A nurse is preparing to complete a digital removal of a fecal impaction. What statement indicates the nurse has an appropriate understanding of this procedure? (Select All that Apply.)
Correct answer
B,C,E
Rationale
The correct answers are B, C, and E.
B: Using a lubricated index finger to break up the mass and remove it helps in dislodging the impaction without causing harm.
C: Sterile gloves are essential to prevent infection during the procedure.
E: Placing the patient in the side-lying position facilitates easier access to the rectum for the procedure.
A: A physician's order is not required for a nurse to perform a digital removal of a fecal impaction.
D: Trying to remove the mass as a whole can be painful and may not be feasible in all cases.
B: Using a lubricated index finger to break up the mass and remove it helps in dislodging the impaction without causing harm.
C: Sterile gloves are essential to prevent infection during the procedure.
E: Placing the patient in the side-lying position facilitates easier access to the rectum for the procedure.
A: A physician's order is not required for a nurse to perform a digital removal of a fecal impaction.
D: Trying to remove the mass as a whole can be painful and may not be feasible in all cases.