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The patient is experiencing diarrhea for three days, which can lead to significant fluid loss and dehydration. Dehydration occurs when the body loses more fluids than it takes in, and it can be
dangerous if not treated promptly. Therefore, it is crucial to provide the patient with a suitable fluid source that can help restore electrolyte balance and hydration. Gatorade is the best fluid source for
the patient to drink small amounts of in this situation. It helps replace lost electrolytes and promotes rehydration, which is essential for managing diarrhea and preventing dehydration. It is essential, however, to consult a healthcare professional to assess the severity of the dehydration and
determine the appropriate course of action.

The correct answer is A. After assessing a patient with hyperactive bowel sounds, the nurse could expect the patient's bowel movements to be in a range from 5-30 bowel sounds per minute.

Explanation:

Hyperactive bowel sounds refer to increased and exaggerated bowel sounds that can be heard upon auscultation (using a stethoscope) of the abdomen. These sounds indicate increased intestinal motility and activity, which can be associated with various conditions, such as gastroenteritis,

diarrhea, or intestinal obstruction.

The expected range of bowel sounds in a healthy individual is typically 5-30 bowel sounds per minute. This range can vary depending on the individual and their digestive activity. During

hyperactive bowel sounds, the number of bowel sounds per minute may be on the higher end of this range or even exceed it, but they are still considered normal as long as they remain within the 5-30 sounds per minute range.

When a nurse documents hyperactive bowel sounds in a patient, they can expect the patient's bowel movements to be in a range from 5-30 bowel sounds per minute, reflecting increased intestinal motility and activity. It's essential to consider the patient's overall clinical picture and other symptoms to make an accurate assessment and provide appropriate care.

The "Occult blood" test, also known as the fecal occult blood test (FOBT) or the fecal
immunochemical test (FIT), is a diagnostic tool used to detect hidden or occult blood in a patient's

stool sample. It is not visible to the naked eye and is often a sign of bleeding in the gastrointestinal (GI) tract.
Explanation of the other options:

This response addresses the patient's concern by explaining why the nurses are listening to their abdomen after surgery. When a patient undergoes general anesthesia, it induces a state of unconsciousness, which affects the entire body, including the bowel. The response highlights that during surgery, the bowel can become temporarily "asleep," resulting in reduced or absent bowel sounds.
After surgery, it's crucial for the healthcare team, including nurses, to monitor the return of bowel sounds as one of the signs of gastrointestinal recovery. Bowel sounds indicate that the bowel is waking up and starting to function normally again. Listening to bowel sounds is a routine part of

postoperative care to ensure that the gastrointestinal system is returning to its normal state after the effects of anesthesia wear off.

The duodenum is the first part of the small intestine, where the majority of nutrient absorption
occurs. When a portion of the duodenum is surgically removed, as in this patient's case, it can lead to malabsorption of nutrients, resulting in nutritional deficiencies. The duodenum is responsible for
receiving partially digested food from the stomach and mixing it with bile and pancreatic enzymes to facilitate nutrient absorption.

During the admission physical assessment, one of the critical aspects of the assessment is evaluating the patient's bowel elimination pattern. By asking questions about the patient's bowel regimen, the nurse aims to gather information about their typical bowel habits and establish their normal bowel pattern.
Understanding the patient's normal bowel pattern is essential for several reasons:
Baseline Assessment: Knowing the patient's usual bowel habits allows the nurse to establish a baseline for comparison. This baseline can be used to monitor any changes or abnormalities in the patient's bowel function during their hospital stay.
Early Detection of Issues: Recognizing any deviations from the patient's normal bowel pattern can help identify potential gastrointestinal problems or complications early on. This allows for timely
intervention and appropriate management.
Individualized Care: Each patient may have a unique bowel elimination pattern, and what is considered "normal" for one person may not be the same for another. Understanding the patient's specific pattern helps the nurse provide individualized care and tailor interventions accordingly.

The patient with a pale blue stoma: A pale blue stoma may indicate inadequate blood supply or circulation to the stoma area. This condition is called ischemia and is a serious concern. The lack of blood flow can lead to tissue damage and potential stoma necrosis. Immediate assessment and intervention are necessary to address the circulation issue and preventfurther complications.

A colostomy is a surgical procedure that creates an opening (stoma) on the abdomen to divert the flow of feces into a colostomy bag. For patients with a new colostomy, this significant change in their body can have a profound impact on their body image and self-esteem. The presence of the stoma and colostomy bag may lead to feelings of embarrassment, loss of control, or altered body

perception, which can affect the patient's emotional well-being.

The nursing diagnosis of "Disturbed Body Image" refers to the emotional response a person has to their own body and its appearance due to a perceived or actual change. The nurse may assess for signs of disturbed body image, such as expressing negative feelings about the colostomy, avoiding looking at or touching the stoma, or verbalizing concerns about body image.

Nursing interventions for a disturbed body image related to a new colostomy may include:

Providing emotional support and a non-judgmental environment for the patient to express their feelings and concerns.

Educating the patient and their family about the colostomy and its care, as increased understanding can help reduce anxiety and fear.

Encouraging the patient to participate in self-care activities related to the colostomy, promoting a sense of control and independence.

Referring the patient to support groups or counseling services specializing in colostomy adjustment and body image issues.

While constipation, acute pain, and risk for falls are valid nursing considerations in the care of a patient with a colostomy, "Disturbed Body Image" is specifically focused on the psychological and emotional impact of the colostomy on the patient's body perception and self-esteem. Each nursing diagnosis is essential in addressing different aspects of the patient's care and well-being.

Edema or Excess Fluid Volume: Edema or excess fluid volume can be a concern when administering a tap water enema, as the introduction of additional fluid into the body may worsen the patient's fluid retention and potentially lead to electrolyte imbalances. Administering an enema to a patient with

edema or excess fluid volume could exacerbate these conditions and may not be safe.

In summary, the medical diagnosis that would NOT qualify the patient for a tap water enema is

"Edema or Excess Fluid Volume." The administration of an enema to a patient with fluid retention can pose risks of further fluid overload and electrolyte disturbances. The decision to perform any medical procedure, including an enema, should always be based on a careful assessment of the patient's condition and potential contraindications.

Excessive flatus, commonly known as excessive gas or bloating, can be caused by various factors,

including dietary choices. Certain foods are notorious for producing more gas during digestion, and cauliflower is one of them.

Cauliflower belongs to a group of vegetables known as cruciferous vegetables, which also includes broccoli, cabbage, and Brussels sprouts. These vegetables contain complex carbohydrates and fiber that can be challenging for some individuals to digest fully. As a result, when they reach the large

intestine, gut bacteria break down these undigested carbohydrates and produce gas as a byproduct. This gas accumulation can lead to bloating and excessive flatus.