Question

91. The nurse is removing a fecal impaction on a 75 year-old client. It is most important that the nurse remember that

A) the procedure be done prior to the bath
B) family members should be taught the procedure
C) cardiac dysrhythmias can result during the process
D) increased dietary fiber can minimize such problems

Answer 1

The nurse must be aware that removing a fecal impaction in a 75-year-old client could lead to cardiac dysrhythmias. Close monitoring for cardiac distress is necessary, and increased dietary fiber intake can prevent such occurrences.

Step-by-step explanation:

It is most important for the nurse to remember that cardiac dysrhythmias can result during the removal of a fecal impaction. This condition can be extremely delicate, especially in elderly clients, due to the stimulation of the vagus nerve during the manipulation of the rectum and the potential for reflexive slowing of the heart rate. It is essential to monitor the patient for any signs of cardiac distress during this procedure. Additionally, increased dietary fiber can indeed minimize the problems of fecal impaction, as it adds bulk and softness to stools, usually making them easier to pass, and reducing the likelihood of constipation. These considerations are critical in the careful management of a fecal impaction in an elderly client.