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 D

Explanation

Choice A This range of bowel sounds is considered normal. Hyperactive bowel sounds refer to an increased frequency and intensity of bowel sounds, exceeding the upper limit of the normal range.

Choice B Bowel sounds less than the normal range might indicate decreased bowel motility but are not associated with hyperactive bowel sounds.

Choice C Absent bowel sounds would be concerning and may indicate an ileus or other gastrointestinal issue, but it is not associated with hyperactive bowel sounds.

Choice D Hyperactive bowel sounds are characterized by an increased frequency and intensity of bowel sounds, exceeding the normal range, and are likely to be documented in a patient with abdominal pain.

A. 300 to 500 mL B. 500 to 1000 mL C. 200 to 300 mL D. 050 to 150 mL

Correct Answer is B

Explanation

ChoiceA: This volume might be insufficient for a large volume, cleansing enema, as it may not effectively cleanse the colon.

Choice: This range is the appropriate volume for a large volume, cleansing enema, as it provides enough fluid to cleanse the colon effectively without causing excessive distension.

Choice C: This volume is too low for a large volume, cleansing enema, and it may not be enough to achieve the desired effect.

Choice D: This volume is too low for a large volume, cleansing enema, and it may not effectively cleanse the colon.

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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?