When assessing the client’s bowel elimination, the nurse understands that which is not a factor?

The primary purpose of an incident report is to document any unexpected or unplanned event that occurs in a healthcare setting, including any adverse events or near misses that involve a patient, staff member, or visitor.

Incident reports are used to identify the underlying causes of an event, to help prevent similar incidents from occurring in the future, and to provide information that can be used to improve the quality and safety of care. Incident reports are not intended to assign blame or responsibility, but rather to gather information and identify opportunities for improvement.

Bounding pulses are a feature of high cardiac output states such as pregnancy, thyrotoxicosis, anemia.

Coolness especially of the extremities is a sign of reduced perfusion to the extremities. Pallor is a sign of anemia and reduced perfusion due to low hemoglobin levels. Cyanosis is a feature of reduced oxygen supply which is a result of reduced perfusion.

Other signs of inadequate perfusion are hypotension, delayed capillary refill time, dry mucous membranes, poor skin turgor, restlessness, dysrhythmias, dizziness, tachycardia and diaphoresis.