The nurse is performing an assessment and finds that the client has nontarry and black stool. Which of the following subjective data should the nurse document as a normal finding consistent with nontarry black stool?
client reports taking iron supplement
client has dry heaves
client reports eating red meat prior to assessment
client report loss of appetite
The Correct Answer is A
Choice A rationale: Taking an iron supplement can lead to nontarry and black stool due to the dark color of iron.
Choice B rationale: Dry heaves are not typically associated with nontarry black stool. Choice C rationale: Eating red meat would result in reddish stool, not black. Choice D rationale: Loss of appetite is not directly related to the appearance of stool.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Finding a firm, irregularly shaped mass during a rectal examination raises concerns about the possibility of colorectal pathology, including cancer. The nurse should report the finding and refer the client to a specialist for further examination and diagnostic testing.
Choice B rationale: Dismissing the mass without further investigation may lead to a delay in diagnosis and appropriate treatment.
Choice C rationale: Instructing the client to return for a repeat assessment in 1 month is not appropriate when a potentially serious finding is present. Immediate referral for further evaluation is necessary.
Choice D rationale: Continuing the examination without addressing the finding and obtaining appropriate follow-up could compromise the client's health and delay necessary interventions.
Correct Answer is A
Explanation
Choice A rationale: Painful menstruation is referred to as dysmenorrhea.
Choice B rationale: Dysuria is painful or difficult urination and is not related to menstruation.
Choice C rationale: Hematuria is the presence of blood in the urine and is not related to menstruation.
Choice D rationale: Dyschezia is difficulty or pain during bowel movements and is not related to menstruation.
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