Reports difficulty with bowel movements and nausea

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Client with multiple sclerosis (MS) reports difficulty with bowel movements and nausea. Provider notified of concerns and physical examination findings. Physical Examination: General: uncomfortable Respiratory: breath sounds clear bilaterally Cardiovascular: S1, S2, no murmur Abdomen: distended, minimal pain to palpation Skin: warm, dry 1110 Nurse is at client's bedside to perform fecal impaction removal. 1115 Hard, large fecal impaction successfully removed followed by a semisolid dark brown bowel movement in the bedpan. Client reports feeling dizzy and faint. Physical Examination: General: pale Respiratory: breath sounds clear bilaterally Cardiovascular: S1, S2, no murmur Abdomen: distended, no pain to palpation Skin: diffuse cool, clammy skin, no overt diaphoresis.

Reference no: EM133759815

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