Question

The nurse is caring for a client with the NANDA-I nursing diagnosis of Perceived Constipation. Which assessment data does the nurse anticipate to collect?

1) Bowel movement frequency
2) Stool consistency
3) Abdominal distention
4) Presence of hemorrhoids
5) Use of laxatives
6) Dietary fiber intake

Answer 1

The nurse anticipates collecting data on bowel movement frequency, stool consistency, abdominal distention, presence of hemorrhoids, use of laxatives, and dietary fiber intake.

Step-by-step explanation:

The nurse anticipates collecting the following assessment data for a client with the nursing diagnosis of Perceived Constipation:

1. Bowel movement frequency: The nurse will ask how often the client has bowel movements.
2. Stool consistency: The nurse will inquire about the consistency of the client's stools.
3. Abdominal distention: The nurse will observe the client's abdomen for any signs of distention or bloating.
4. Presence of hemorrhoids: The nurse will check for the presence of hemorrhoids during the physical examination.
5. Use of laxatives: The nurse will ask if the client uses any laxatives or stool softeners.
6. Dietary fiber intake: The nurse will discuss the client's dietary fiber intake to assess if it may contribute to the perceived constipation.