Asked by Cassandra Vaughn-Andrews on May 07, 2024
Verified
A nurse is performing an assessment on a patient who has not had a bowel movement in 3 days. The nurse will expect which other assessment finding?
A) Hypoactive bowel sounds
B) Increased fluid intake
C) Soft tender abdomen
D) Jaundice in sclera
Hypoactive Bowel Sounds
Refers to decreased sounds of intestinal movement, potentially indicating slowed digestion or obstruction.
Jaundice
Yellow discoloration of the skin, mucous membranes, and sclera caused by greater-than-normal amounts of bilirubin in the blood.
- Apply critical thinking to assess patients for potential complications related to bowel movements and interventions.
Verified Answer
DG
Devan GreeneMay 11, 2024
Final Answer :
A
Explanation :
Three or more days with no bowel movement indicates hypomotility of the GI tract. Assessment findings would include hypoactive bowel sounds, a firm distended abdomen, and pain or discomfort upon palpation. Increased fluid intake would help the problem; a decreased intake can lead to constipation. Jaundice does not occur with constipation but can occur with liver disease.
Learning Objectives
- Apply critical thinking to assess patients for potential complications related to bowel movements and interventions.
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