The nurse is preparing to assess a client’s fecal elimination status. Which activity will the nurse complete during this assessment?
1. Obtain a nursing history.
2. Interpret results of diagnostic tests.
3. Perform a physical examination.
4. Set goals with the client.
ANSWER
Correct Answer: 1
Rationale 1: Assessment of fecal elimination includes a nursing history and also a review of any data from the client’s records.
Rationale 2: Interpretation of diagnostic test results would demonstrate evaluation of the nursing process.
Rationale 3: Performing a physical examination would demonstrate implementation of the nursing process.
Rationale 4: Setting goals for the client demonstrates the planning step of the nursing process.
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