During an admission physical assessment, a nurse questions a patient about their bowel

elimination pattern. The nurse may say, "Can you tell me your bowel regimen? Do you have a regular, bowel movement every day? What is the approximate time that you have a bowel

movement?" The nurse's goal is

To determine the patient's normal bowel pattern

To determine appropriate patient goals for the patient

To determine whether further gastrointestinal testing is necessary.

To assess the need for a laxative.

To determine whether further gastrointestinal testing is necessary.

Answer and Explanation

The Correct Answer is A

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Correct Answer is B

Explanation

The correct answer is choice b. Ascending colon.

Choice A rationale:

The sigmoid colon is the last part of the large intestine before the rectum. By this stage, the stool is usually well-formed as most water has been absorbed.

Choice B rationale:

The ascending colon is the first part of the large intestine where the stool is least formed. This is because it is the initial stage of the large intestine where water absorption begins, so the stool is still relatively liquid.

Choice C rationale:

The descending colon is further along the digestive tract, where more water has been absorbed, making the stool more formed compared to the ascending colon.

Choice D rationale:

The transverse colon is between the ascending and descending colons. While the stool here is more formed than in the ascending colon, it is less formed than in the descending and sigmoid colons.

A. "Sometimes severe stress can make the stool bright red." B. "This is probably nothing. Just let me know if it happens again." C. "This needs to be investigated. I will need a stool sample immediately and need to notify the Charge RN." D. "You should schedule a colonoscopy as soon as possible."

Correct Answer is A

Explanation

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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During an admission physical assessment, a nurse questions a patient about their bowel elimination pattern. The nurse may say, "Can you tell me your bowel regimen? Do you have a regular, bowel movement every day? What is the approximate time that you have a bowel movement?" The nurse's goal is

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse would expect the least formed stool to be present in which portion of the digestive tract?

Correct Answer is B

Explanation

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

Correct Answer is A

Explanation

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During an admission physical assessment, a nurse questions a patient about their bowel

elimination pattern. The nurse may say, "Can you tell me your bowel regimen? Do you have a regular, bowel movement every day? What is the approximate time that you have a bowel

movement?" The nurse's goal is