An older adult's perineal skin appears to be dry and thin with mild excoriation. When providing hygiene after a bowel movement, the nurse should

After cleaning the backside, apply a skin protective lotion to protect the skin.

Tape an occlusive moisture barrier pad to the patient's skin.

Massage the skin with deep kneading pressure.

Thoroughly scrub the skin with a washcloth and hypoallergenic soap.

Answer and Explanation

The Correct Answer is A

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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.

A. Shape of abdomen B. Bowel sounds C. Abdominal cramping and discomfort D. Distention of abdomen

Correct Answer is C

Explanation

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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An older adult's perineal skin appears to be dry and thin with mild excoriation. When providing hygiene after a bowel movement, the nurse should

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is emptying an ileostomy pouch for a patient. Which assessment finding would the nurse report immediately?

Correct Answer is C

Explanation

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

Correct Answer is C

Explanation

An older adult's perineal skin appears to be dry and thin with mild excoriation. When providing hygiene after a bowel movement, the nurse should

After an initial assessment, a nurse documents that a patient, admitted for abdominal pain, has hyperactive bowel sounds. As a result, the nurse could expect the patient's bowel movements to be

A nurse can expect that which of the following patients are most likely to suffer from fecal incontinence? Select all that apply.

A nurse is monitoring bowel elimination of a patient who has a history of constipation. The nurse implements measures to assist with bowel elimination if the patient has not had a bowel movement what would be the BEST option to try first?

A nurse is caring for a patient with a colostomy. The ostomy drainage bag should be emptied whenever it is

A nurse is educating a patient on how to irrigate an ostomy bag. Which statement by the patient indicates the need for further instruction?

A nurse notices that the patient's stool is light, claycolored. The nurse suspects the patient

Which doctor's order should be questioned?