Based on the information provided within the question in regards to the situation it can be said that the best solution for this client's needs would be a Fleet Mineral Oil Enema. This is a mineral oil lubricant which doubles as a laxative in order to treat chronic constipation, which is what causes an impaction like what the client is suffering from in this scenario. It lubricates the stool and intestinal mucosa without distending the intestine.
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In systole, you should expect that your mitral valve and tricuspid valve to be closed (snap shut) and you should expect your pulmonary valve and aortic valve to open. Hope this helps
