A patient with a fecal impaction has an order to remove stool digitally. In which order will the nurse perform the steps, starting with the first one?
1) Obtain baseline vital signs.
2) Apply clean gloves and lubricate.
3) Insert index finger into the rectum.
4) Identify patient using two identifiers.
5) Place patient on left side in Sims' position.
6) Massage around the feces and work down to remove
A) 4, 1, 5, 2, 3, 6
B) 1, 4, 2, 5, 3, 6
C) 4, 1, 2, 5, 3, 6
D) 1, 4, 5, 2, 3, 6

Question

Quizplus · Accepted Answer

The steps for removing a fecal impaction are as follows: identify patient using two identifiers; obtain baseline vital signs; place on left side in Sims' position; apply clean gloves and lubricate; insert index finger into the rectum; and gently loosen the fecal mass by massaging around it and work the feces downward toward the end of the rectum.

A Patient with a Fecal Impaction Has an Order to Remove