A nurse assesses a patient who has constipation. Which finding most strongly suggests faecal impaction?
Correct answer: A. A small amount of liquid stool leaking around hard stool
- A. A small amount of liquid stool leaking around hard stool
- B. Soft formed stool passed every morning
- C. Mild abdominal sounds after eating a meal
- D. One day without a bowel movement in an adult
Explanation
Liquid stool may seep around an impacted mass and is called overflow or paradoxical diarrhoea. It should not be mistaken for resolution of constipation; the patient needs further assessment for impaction.
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About Elimination and Catheterisation
Elimination care covers normal bowel and urinary patterns, constipation, diarrhoea, incontinence, retention, enemas, ostomies and specimen collection. Catheterisation includes indications, catheter types, insertion principles, drainage-bag care and prevention of urinary infection, with attention to the difference between urinary retention and incontinence.
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