Author Question: The nurse assesses a client with abdominal and rectal discomfort, diarrhea, and fever. What initial ... (Read 143 times)

NClaborn · **on:** Jul 11, 2018

The nurse assesses a client with abdominal and rectal discomfort, diarrhea, and fever. What initial data source should the nurse use to determine a possible cause of his symptoms?

A) Medical history, for prostatic hypertrophy
B) Nutritional record, for the amount of dietary fiber
C) Defecation record, for frequency and character of bowel movements
D) Medication record, for use of anticholinergic medications

Question 2

A 28-year-old male patient has a fractured left humerus. He has a cast on his arm. The nurse observes pallor, coolness, and a decrease in capillary refill time to his left hand and fingers. These observations are likely to indicate

a. compartment syndrome.
b. early infection.
c. hemorrhage.
d. shock.

Ashley I · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
Feedback:
The client has at least three indications of a fecal impaction, so it is important to review his defecation record for the date of his last formed stool. This information would supersede the other noted areas of assessment.

Answer to Question 2

A
Collection of objective data involves assessment of the patient's ability to flex the fingers or toes, coolness of the extremity, and absence of pulse in the affected extremity all of which indicate the impaired circulation symptomatic of compartment syndrome. Assessment of skin color for signs of pallor or cyanosis is made.