80.While preparing to insert a rectal suppository in a male adult client,
the nurse observes that the client is holding his breath while bearing
down. What action should the nurse implement?
A. Advise the client to continue to bear down without holding his
breath.
B. Gently insert the lubricated suppository four inches into the rectum.
C. Perform a digital exam to determine if a fecal impaction is present.
D. Instruct the client to take slow deep breaths and stop bearing
down.
During administration of a rectal suppository, the client is asked to take
slow deep breaths through the mouth to relax the anal sphincter (D).
Bearing down (A) will push the suppository out of the rectum, so the
suppository should not be inserted while the client is bearing down
(B). Further data is needed before performing an invasive digital exam
the nurse observes that the client is holding his breath while bearing
down. What action should the nurse implement?
A. Advise the client to continue to bear down without holding his
breath.
B. Gently insert the lubricated suppository four inches into the rectum.
C. Perform a digital exam to determine if a fecal impaction is present.
D. Instruct the client to take slow deep breaths and stop bearing
down.
During administration of a rectal suppository, the client is asked to take
slow deep breaths through the mouth to relax the anal sphincter (D).
Bearing down (A) will push the suppository out of the rectum, so the
suppository should not be inserted while the client is bearing down
(B). Further data is needed before performing an invasive digital exam
