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A Patient with a Fecal Impaction Has an Order to Remove

Question 42

Multiple Choice

A patient with a fecal impaction has an order to remove stool digitally. In which order will the nurse perform the steps, starting with the first one?
1) Obtain baseline vital signs.
2) Apply clean gloves and lubricate.
3) Insert index finger into the rectum.
4) Identify patient using two identifiers.
5) Place patient on left side in Sims' position.
6) Massage around the feces and work down to remove


A) 4, 1, 5, 2, 3, 6
B) 1, 4, 2, 5, 3, 6
C) 4, 1, 2, 5, 3, 6
D) 1, 4, 5, 2, 3, 6

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