A nurse is assessing a client with constipation and severe rectal pain. Which of the following actions should the nurse perform to determine the presence of fecal impaction?

Question

Quizplus · Accepted Answer

A nurse should assess for fecal impaction by inserting a lubricated, gloved finger into the rectum to feel for any hard, impacted stool. This is a standard nursing practice for assessing fecal impaction. Options B, C, and D are interventions for treating constipation and fecal impaction, but they do not assess for the presence of fecal impaction.

A Nurse Is Assessing a Client with Constipation and Severe