Which term refers to the accumulation of stool in the colon, blocking normal passage of feces?

• A. Emesis
• B. Geriatrics
• C. Constipation
• D. Fecal Impaction

Answer: (D)

Fecal impaction is the accumulation of stool in the colon that becomes so hard it cannot be passed through the rectum, blocking normal elimination. It often develops from long-standing constipation, dehydration, immobility, or medications that slow bowel movement. This is a specific, more advanced consequence of constipation, rather than constipation itself. You might see little or no stool passage, abdominal distention or cramping, nausea, and sometimes leakage of liquid stool around the blockage. If you suspect this, report it promptly, monitor the resident, and follow the care plan; never attempt to dislodge or remove the stool unless you have explicit orders from a nurse or physician.