Final answer:
The nurse aide should report the large bowel movement to the charge nurse first and then inquire about the normal bowel patterns of the resident.
Step-by-step explanation:
When a nursing aide encounters a situation where a resident reports having a very large bowel movement, the first step should be to report this to the charge nurse. This is essential as they are equipped to assess the patient's condition comprehensively and determine if the reported symptom requires medical attention or intervention. However, understanding the resident's normal bowel patterns is also important, so after reporting, the aide may ask if this is a normal pattern for the resident's body. The case in point regarding Javier highlights the importance of prompt response and assessment in gastrointestinal symptoms which could indicate an infection, such as Clostridium difficile (C. difficile), especially post-hospitalization and antibiotic use.