Which term describes a hard stool that is stuck in the rectum and cannot be expelled?

• A. DNR
• B. Gastrotomy Tube
• C. Edema
• D. Fecal Impaction

Answer: (D)

Fecal impaction is when a large, dry mass of stool becomes wedged in the rectum and cannot be expelled. This happens when constipation is not treated, often in people who are dehydrated, inactive, or have limited mobility, such as some older adults. Recognize it by a continuing inability to pass stool despite the urge, possible leakage of liquid stool around the blockage, abdominal pain or distension, nausea, and general weakness. If you suspect it, tell the nurse right away so the client can be evaluated and treated. Do not try to remove the stool yourself; management may include laxatives, enemas, or gentle removal by a licensed clinician. If left untreated, it can lead to bowel obstruction, perforation, or infection.