We can confirm that option C, checking for stool impaction, would be the only nursing intervention mentioned that should be included in this patient's plan of care.
I believe you are referring to the complete question:
"Which nursing intervention would be included in the plan of care for a patient who is admitted with a stroke and is complaining about having liquid stools?
A. Administering enemas
B. Administering psyllium
C. Checking for stool impaction
D. Discouraging physical activity "
An enema is the injection of liquid into the lower bowel through the rectum. Enemas are a common treatment option for patients with bowel difficulties as it helps to facilitate bowel movements. However, enemas are known to increase intracranial pressure and thus should be avoided in patients with a history of strokes.
Psyllium is a form of fiber. Fiber is used to increase the production of solid fecal matter and stimulate bowel movements, which can be an effective method of treatment for liquid stools. However, should the stools be caused by stool impaction, then adding fiber to the diet would only worsen the condition.
Physical activity stimulates bowel function and is recommended in patients who suffer strokes given that it promotes healthy blood flow and reduces the blockage of arteries, so the nurse should encourage the patient to perform physical activity rather than discourage it.
Stool impaction is the development of a solid mass of fecal matter in the rectum and lower bowel, which proves difficult or impossible to pass. This condition is common after a stroke and can affect the entire rest of the treatment plan and thus should be checked first.
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