When evaluating a student nurse's ability to digitally remove feces,the nurse preceptor determined that further teaching is required if the student nurse does which of the following interventions?
A)Provides perianal skin care.
B)Continues the procedure if bleeding starts.
C)Follows the procedure by offering the patient the bedpan.
D)Discontinues the procedure in the presence of bradycardia.

Question

Quizplus · Accepted Answer

If the patient experiences bleeding from the rectum,the anal and perianal regions should be assessed to locate the source of the bleeding.Observe for the presence of perianal skin irritation.The presence of such indicates the need for postprocedure skin care to the perianal region to reduce pain during subsequent bowel elimination.After the procedure,assist the patient to the toilet or onto a clean bedpan.Removal of impaction stimulates the defecation reflex.The sacral branch of the vagus nerve is stimulated during digital stimulation;this may result in reflex slowing of the heart rate.Stop the procedure and retake vital signs.

When Evaluating a Student Nurse's Ability to Digitally Remove Feces,the