A patient's admission assessment includes pertinent information about bowel elimination.

Which subjective information collected by the nurse will be documented?

Shape of abdomen

Bowel sounds

Abdominal cramping and discomfort

Distention of abdomen

Answer and Explanation

The Correct Answer is C

Choice A The shape of the abdomen is a physical assessment finding and not subjective

information provided by the patient. It involves the nurse's observation of the patient's abdomen during the examination.

Choice B Bowel sounds are also physical assessment findings that involve the nurse listening to the patient's abdomen using a stethoscope.

Choice C This is the correct answer. Abdominal cramping and discomfort are subjective symptoms reported by the patient and are relevant to the patient's bowel elimination status. Choice D Like the shape of the abdomen, the distention of the abdomen is a physical assessment finding and not subjective information provided by the patient.

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Correct Answer is C

Explanation

Choice A This change in blood pressure is not alarming and does not require immediate cessation of the procedure.

Choice B A slight increase in temperature is within a normal range and does not indicate an urgent issue related to the stool removal procedure.

Choice C A significant decrease in pulse rate suggests bradycardia, which can be a serious sign and might be caused by the stimulation of the vagus nerve during the procedure. The nurse should stop immediately and take corrective action.

Choice D An increase in respiratory rate may indicate increased anxiety or discomfort, but it is not an immediate cause for stopping the procedure.

A. 300 to 500 mL B. 500 to 1000 mL C. 200 to 300 mL D. 050 to 150 mL

Correct Answer is B

Explanation

ChoiceA: This volume might be insufficient for a large volume, cleansing enema, as it may not effectively cleanse the colon.

Choice: This range is the appropriate volume for a large volume, cleansing enema, as it provides enough fluid to cleanse the colon effectively without causing excessive distension.

Choice C: This volume is too low for a large volume, cleansing enema, and it may not be enough to achieve the desired effect.

Choice D: This volume is too low for a large volume, cleansing enema, and it may not effectively cleanse the colon.

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A patient's admission assessment includes pertinent information about bowel elimination. Which subjective information collected by the nurse will be documented?

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Naxlex Comprehensive Predictor Exams

A nurse is digitally removing stool that is impacted from a patient. The nurse should stop the procedure immediately and take corrective action if the patient's:

Correct Answer is C

Explanation

There is an order to administer a large volume, cleansing enema to an adult patient. The enema bag is filled with how many milliliters of fluid for this procedure?

Correct Answer is B

Explanation

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A patient's admission assessment includes pertinent information about bowel elimination.

Which subjective information collected by the nurse will be documented?