A nurse is ordered to perform digital removal of stool on a client with stool impaction. Which of the following is an appropriate step in this procedure?
A) Position the client in supine position as dictated by client comfort and condition.
B) Insert generously lubricated finger gently into the anal canal, pointing away from the umbilicus.
C) Gently work the finger around and into the hardened mass to break it up and then remove pieces of it.
D) Instruct the client not to bear down while extracting feces to prevent vagal response.
Correct Answer:
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