A nurse is caring for a client with an abdominal injury at a health care facility. The client tells the nurse that he passed dark, tarry stool. Which of the following nursing actions is appropriate when a client reports possible blood in the stool?
A) Save a sample of the stool in a container.
B) Perform a screening test on a stool sample.
C) Perform a digital-rectal examination.
D) Send the client to radiology for a colonoscopy.
B
Feedback:
The nurse should independently perform a screening test on the stool samples to determine the presence of blood. Saving the sample does not provide assessment data. A digital rectal examination is not indicated and the physician, not the nurse, may order more specific laboratory or diagnostic tests.
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