The patient reports that he has not had a bowel movement in 7 days. He has had several doses of a laxative without any results. The nurse is going to assess for fecal impaction by performing a digital rectal examination. What instruction should the nurse give to the patient prior to the assessment?
A) "Drink 8 ounces of water in the next hour to help soften the stool."
B) "Tell me if you are feeling any discomfort or pain."
C) "You cannot move at all during this assessment or serious injury will occur."
D) "Hold your breath and push as I insert my finger in your rectum."
Correct Answer:
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