Digital Removal of Stool

The nurse is preparing to remove stool digitally for a client who is constipated. Which steps are included in this process?

Instruct client to bear down, if possible, while extracting feces to ease in removal., Gently work the finger around and into the hardened mass to break it up and then remove pieces of it., Insert gloved finger gently into anal canal, pointing toward the umbilicus., Generously lubricate index finger of dominant hand with water-soluble lubricant.

The health care provider prescribes digital removal of stool for a client with liver cirrhosis. The nurse notes that the client is on precautions for a low platelet count. What action does the nurse take?

Clarify the request with the health care provider.

Which nursing interventions may be used for a client with a fecal impaction prior to digital removal of stool?

Adjust medications to reduce the chance of constipation., Administer oil and cleansing enemas., Ensure adequate hydration., Include 30 grams of fiber in the diet.

Digital removal of stool is considered a last resort after other unsuccessful methods of bowel evacuation have been performed. Which is the correct rationale for this statement?

Digital removal of stool may cause parasympathetic stimulation.

Which procedures can be delegated to an unlicensed assistive personnel (UAP)?

administration of a small-volume enema, administration of enemas until clear, application of a fecal incontinence device, administration of a large-volume enema