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 C

A. Stress does not cause bright red stool. Dismissing the symptom as stress could delay identification of potentially serious gastrointestinal bleeding.

B. Minimizing the patient’s concern is inappropriate because bright red stool may indicate active lower gastrointestinal bleeding, such as from hemorrhoids, diverticulosis, or other more serious causes.

C. Investigating the cause of bright red stool promptly is essential. Collecting a stool sample and notifying the charge nurse ensures timely assessment, early detection of bleeding, and appropriate interventions to prevent complications.

D. Recommending a colonoscopy may be necessary in the long-term evaluation of bright red stool, but immediate assessment and diagnostic steps should occur first. Scheduling a colonoscopy without initial evaluation is premature and does not address acute concerns.

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Correct Answer is D

Explanation

Choice A Alcohol swabs may be too harsh and irritating for the delicate skin around the stoma. Mild soap and water are preferred for cleaning.

Choice B Tap water alone may not be sufficient for removing debris and ensuring proper cleanliness around the stoma. Mild soap and water are preferred for cleaning.

Choice C Iodine may be too harsh and irritating for the peristomal skin. Mild soap and water are preferred for cleaning.

Choice D Mild soap and water are the best choice for cleaning around the colostomy stoma as they effectively remove debris and cleanse the area without being overly harsh on the skin.

A. Liquid consistency of stool B. Unpleasant odor from the stool C. Presence of blood in the stool D. Continuous output from the stoma

Correct Answer is C

Explanation

Choice A For an ileostomy, liquid consistency of stool is expected as the output, and it is not an immediate concern.

Choice B Foul odor from the stool is common with ileostomy output, and while it can be unpleasant, it is not an immediate concern.

Choice C This finding should be reported immediately, as it could indicate bleeding from the stoma or intestinal mucosa, which requires prompt evaluation and intervention.

Choice D Continuous output from an ileostomy is normal and expected, so it is not a cause for immediate concern.

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

Nursing Test Bank

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