Which assessment data would indicate compromised gastrointestinal ...

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Which assessment data would indicate compromised gastrointestinal function?
 
  1. Bowel sounds active in all four quadrants
  2. Clay color stool
  3. Increased appetite
  4. Semisolid and moist stool

Question 2

What should the nurse instruct a client to maintain a normal fecal elimination pattern?
 
  1. Drink two to four glasses of water daily.
  2. Include more spicy foods and sugar in the diet.
  3. Include more whole grains in the diet.
  4. Use enemas as desired.

[alexanderhamilton]

Answer to Question 1

Correct Answer: 2
Rationale 1: Bowel sounds active in all four quadrants is indicative of normal bowel activity.
Rationale 2: Clay color stools would be an indication of a problem in the GI tract. Clay color is a sign of the absence of bile pigment (bile obstruction).
Rationale 3: If the GI tract were compromised, the client would have a decrease in appetite, not an increase.
Rationale 4: A semisolid and moist stool indicates normal bowel function.

Answer to Question 2

Correct Answer: 3
Rationale 1: For regular elimination, six to eight glasses of water should be consumed daily.
Rationale 2: Increasing the consumption of spicy foods and sugar will cause diarrhea, which is not a normal fecal pattern.
Rationale 3: Eating more whole grains will increase fiber in the diet, which increases bulk and volume.
Rationale 4: The constant use of enemas and laxatives will promote dependence.

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Gracias!

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