The nurse assesses the patient admitted with constipation. Which assessment finding warrants further investigation?
a. No aortic bruit
b. Firm liver edge
c. Bowel sounds audible
d. Abdomen distended and taut
D
A distended abdomen that is round and taut is a significant finding for a patient with constipation because it potentially indicates the accumulation of fluid, gas, tumor, or other material. This warrants the nurse's attention because, if the accumulation of fluid or gas is caused by a bowel obstruction, the patient may need emergency care to prevent the bowel from rupturing and spilling intestinal contents into the peritoneum. No aortic bruits, a firm liver edge, and audible bowel sounds are normal findings.
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