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What position should the nurse place a patient digitally evacuating the stool, and how to perform the procedure?

a) Supine; gently insert the finger into the rectum
b) Sims; insert the finger with a scooping motion
c) Prone; use a circular motion to dislodge stool
d) Lithotomy; press downward to assist evacuation

User Vishal R
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Final answer:

The correct position for digitally evacuating stool is the Sims' position, and the procedure involves using a scooping motion with a gloved and lubricated finger. The Valsalva's maneuver is a voluntary process that aids in natural defecation. To prevent constipation, a diet rich in fiber and adequate water intake is recommended.

Step-by-step explanation:

When digitally evacuating the stool, the position in which the patient should be placed is the Sims' position. This involves the patient lying on their side with their upper leg bent and drawn toward the chest, while the bottom leg is kept straight. This position provides better access to the rectum and facilitates the process of evacuation. To perform the procedure, a nurse or healthcare provider should use a gloved and lubricated finger to gently insert it into the rectum with a scooping motion. Care should be taken to be gentle to minimize discomfort and the risk of causing injury to the rectum. The scooping motion helps to remove the stool from the body.

Feces are normally eliminated through contractions of the rectal muscles, which can be aided voluntarily by the Valsalva's maneuver. The Valsalva's maneuver involves increasing intra-abdominal pressure by contracting the diaphragm and abdominal wall muscles, and closing the glottis. In cases where an individual is unable to evacuate stools naturally due to constipation or other complications, digital evacuation becomes necessary.

Fiber intake and adequate water consumption are crucial in maintaining normal stool consistency, and should be encouraged to prevent constipation. Those experiencing constipation are advised to consume more fiber-rich foods and increase their water intake before resorting to interventions like digital evacuation or laxatives.

User Seduardo
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