Which doctor's order should be questioned?

Choice A This is considered a normal abdominal assessment. The abdomen is soft and not distended, and bowel sounds are present and normal in all four quadrants.

Choice B Abdominal distension and firmness may indicate possible bowel obstruction or other gastrointestinal issues. Hypoactive bowel sounds suggest reduced motility, which is not normal.

Choice C Abdominal distension with hyperactive bowel sounds may indicate gastrointestinal irritation or increased motility, which is not normal.

Choice D A firm abdomen with hypoactive bowel sounds is not typical of a normal abdominal assessment.

A. Stress does not cause bright red stool. Dismissing the symptom as stress could delay identification of potentially serious gastrointestinal bleeding.

B. Minimizing the patient’s concern is inappropriate because bright red stool may indicate active lower gastrointestinal bleeding, such as from hemorrhoids, diverticulosis, or other more serious causes.

C. Investigating the cause of bright red stool promptly is essential. Collecting a stool sample and notifying the charge nurse ensures timely assessment, early detection of bleeding, and appropriate interventions to prevent complications.

D. Recommending a colonoscopy may be necessary in the long-term evaluation of bright red stool, but immediate assessment and diagnostic steps should occur first. Scheduling a colonoscopy without initial evaluation is premature and does not address acute concerns.