A nurse can expect that which of the following patients are most likely to suffer from fecal incontinence? Select all that apply.
An 84yearold with advanced dementia
A 26yearold with severe brain damage
A 39yearold paraplegic
A 44yearold with diverticulosis
A 75yearold that has bathroom privileges
Correct Answer : A,C
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A This change in blood pressure is not alarming and does not require immediate cessation of the procedure.
Choice B A slight increase in temperature is within a normal range and does not indicate an urgent issue related to the stool removal procedure.
Choice C A significant decrease in pulse rate suggests bradycardia, which can be a serious sign and might be caused by the stimulation of the vagus nerve during the procedure. The nurse should stop immediately and take corrective action.
Choice D An increase in respiratory rate may indicate increased anxiety or discomfort, but it is not an immediate cause for stopping the procedure.
Correct Answer is D
No explanation
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