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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Stool with worms would present as visible worms or worm segments in the stool and not pus.
Choice B Occult blood refers to blood that is not visible to the naked eye and is not related to the presence of pus in the stool.
Choice C Pus in the stool is not considered a normal stool characteristic.
Choice D The presence of pus in the stool may indicate inflammation or infection in the gastrointestinal tract, potentially from conditions such as inflammatory bowel disease (IBD) or infection.
Correct Answer is A
Explanation
Choice A: Bright red stool can be caused by various factors, including the consumption of certain foods, medications, or gastrointestinal bleeding. Stress can lead to changes in bowel movements and might cause bright red stool due to increased gastrointestinal motility.
Choice B: While it's essential to reassure the patient, dismissing their concern without further assessment is not appropriate. The nurse should still investigate the potential causes of bright red stool.
Choice C: Jumping to conclusions and ordering immediate tests without further assessment is not the best approach. Before taking any action, the nurse should gather more information and assess other possible causes.
Choice D: Suggesting a colonoscopy as the first step is not necessary for every case of bright red stool. Further assessment is needed to determine the cause before resorting to such an invasive procedure.
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