A patient expresses concerns over having bright red stool. Which response by the nurse is most appropriate?

"Sometimes severe stress can make the stool bright red."

"This is probably nothing. Just let me know if it happens again."

"This needs to be investigated. I will need a stool sample immediately and need to notify the Charge RN."

"You should schedule a colonoscopy as soon as possible."

Answer and Explanation

The Correct Answer is A

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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Correct Answer is A

No explanation

A. Stool softener B. Soap suds enema C. Suppository D. Mineral oil enema

Correct Answer is A

Explanation

Choice A: A stool softener is the best option to try first for a patient with constipation as it helps to soften the stool, making it easier to pass.

Choice B: Soap suds enemas are used to promote bowel movements, but they are more invasive and can cause discomfort. Stool softeners should be tried before resorting to enemas.

Choice C : Suppositories can also help with constipation, but they are generally not the first option to try. Stool softeners are milder and more suitable initially.

Choice D: While mineral oil enemas can provide lubrication to facilitate bowel movements, stool softeners are generally preferred for their milder action.

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A patient expresses concerns over having bright red stool. Which response by the nurse is most appropriate?

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