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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. When the left descending colon and rectum are removed, a colostomy is typically created. This involves bringing the proximal end of the remaining colon to the surface of the abdomen to create a stoma. The colostomy allows the rest of the bowel to heal and function normally.

B.A continent ostomy involves creating an internal reservoir with a valve, allowing the patient to control the evacuation of intestinal contents. This option is less common and usually associated with continent ileostomies rather than temporary diversions to rest a portion of the colon.

C. A Kock pouch is a type of continent ileostomy where an internal reservoir is created from the ileum, and the patient can empty the reservoir with a catheter. This is not typically used as a diversion for healing purposes involving the colon.

D.An ileostomy involves bringing the end of the ileum (the last part of the small intestine) to the surface of the abdomen to create a stoma. Given that the left descending colon and rectum were removed, this procedure is unlikely unless the entire colon is bypassed or removed, which is not specified in this scenario.

A. An oil retention enema for a patient using mineral oil laxatives B. A normal saline enema to be repeated every 4 hours until stool is produced C. A hypertonic solution enema with a patient with fluid volume excess D. A Kayexalate enema for a patient with hypokalemia

Correct Answer is C

No explanation

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A patient's admission assessment includes pertinent information about bowel elimination. Which subjective information collected by the nurse will be documented?

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A patient's admission assessment includes pertinent information about bowel elimination.

Which subjective information collected by the nurse will be documented?