Question

Which statement by an older adult most strongly supports the nurse's conclusion that the client is impacted with stool?A. "I have a lot of gas pains."B. "I don't have much of an appetite."C. "I feel like I have to go, but I just seep."D. "I haven't had a bowel movement for several days."

Answer 1

Answer: D, "I haven't had a bowel movement for several days"

Explanation:

Fecal impaction occurs when fecal matter in the colon refuses to dislodge out of the colon. It usually results from constipation.

Constipation itself is not a disease but occurs due to lifestyle like:

1. A diet low in fiber

2. Inadequate fluid intake

3. Sedentary lifestyle

4. Ignoring the urge to defecate

5. Side effect of medication.

Symptoms of fecal impaction:

1. Abdominal pain especially after meal

2. A persistent urge to move the bowel

3. Headache

4. Poor appetite