Elimination And Bowel/Bladder Care Practice Test

A 77-year-old client in a skilled nursing facility is immobile after a stroke and is on a bowel regimen. History includes chronic constipation. Assessment: abdomen mildly distended; bowel sounds present; last bowel movement 4 days ago; VS: T 98.2°F (36.8°C), HR 88, RR 16, BP 132/78; intake 1500 mL/day. Which finding should the nurse REPORT immediately in a client with bowel management needs?

A 69-year-old client on a rehabilitation unit is on bedrest after a femur fracture and needs bowel management assistance. History: opioid pain medication use. Assessment: no bowel movement for 3 days; nausea present; abdomen distended; bowel sounds hypoactive; VS: T 98.9°F (37.2°C), HR 94, RR 18, BP 138/82. Which finding should the nurse REPORT immediately in a client with bowel management needs?