A patient has stools that are foul smelling and that float on water. The nurse documents that this patient is having

Finding blood in the stool from an ileostomy is an abnormal and potentially concerning finding. It could indicate bleeding from the digestive tract, which requires prompt evaluation and medical intervention. The nurse should notify the healthcare provider immediately to ensure appropriate assessment and management of the situation.

Liquid consistency of stool in (option A) will not be reported immediately although it is typical for an ileostomy as it involves the output of liquid stool from the small intestine.

Unpleasant odor from the stool in (option B) is a common characteristic of stool output from an ileostomy. It is important for the nurse to address odor control measures, but it may not require immediate reporting unless accompanied by other concerning symptoms.

Continuous output from the stomach in (option D) is not an expected finding for an ileostomy, as the ileostomy bypasses the stomach. However, this option seems unrelated to the given scenario and is not as urgent as the presence of blood in the stool.

Raising the head of the bed to a semi or high Fowler's position (sitting up at a 30-45-degree angle) can assist the patient in having a successful bowel movement while using a bedpan. This position helps to facilitate gravity, making it easier for the patient to bear down and evacuate their bowels.

Administering laxatives to the patient in (option A) is incorrect because laxatives are medications that help promote bowel movements. While they may be used in some cases of constipation, they might not be the immediate solution for a patient having difficulty using a bedpan.

Preparing to administer a cleansing enema in (option B) is incorrect because Enemas involve introducing liquid into the rectum to stimulate bowel movements. They are typically used for more severe cases of constipation or as part of a bowel preparation before certain medical procedures. For a patient who is simply having trouble using a bedpan while lying in bed, an enema may not be necessary or appropriate at this time.

Withholding narcotic pain medication for at least 2 hours until the patient had a bowel movement successfully in (option C) is incorrect because, while some pain medications, particularly opioids, can cause constipation as a side effect, withholding pain medication solely for this purpose may not be appropriate or safe. Pain management is essential for patient comfort and recovery, and the nurse should find other interventions to assist with bowel movements while maintaining appropriate pain control.