Exhibits Review H and P. nurse's notes, flow sheet and orders. Click to mark whether the assessment findings represent the therapeutic result of the bisacodyl administered a non-therapeutic side effect, or an unrelated finding. Each row must have at least one option selected.

• Non-blanchable red area: This indicates a stage 1 pressure injury caused by prolonged pressure, often seen in immobile patients like this client in Buck’s traction. It is unrelated to bisacodyl, which primarily affects bowel motility and has no direct impact on skin integrity or pressure injury development. • Pain rating 2 on pain scale of 0 to 10: The reduced pain rating suggests effective pain control, possibly from morphine and ibuprofen administration. While bisacodyl does not directly relieve pain, resolving constipation and bowel discomfort can contribute to overall comfort, marking this as a therapeutic result. • Semifluid stool: Bisacodyl is a stimulant laxative that increases bowel motility and softens stool. The semifluid stool observed is a direct therapeutic effect indicating that the medication is working to relieve constipation and promote regular bowel movements. • Burning sensation: The burning sensation reported near the anus likely results from irritation caused by the bisacodyl suppository or frequent bowel movements. This is a common non-therapeutic side effect of stimulant laxatives and local mucosal irritation. • Sinus tachycardia: Sinus tachycardia is commonly caused by pain, anxiety, fever, or stress from trauma, none of which are related to bisacodyl use. Therefore, it is an unrelated finding in this clinical context. • Itching in legs: The itching reported in the legs is likely related to skin dryness, immobility, or local irritation and has no connection to bisacodyl therapy. • Blood pressure 135/81 mm Hg: The blood pressure reading is slightly elevated but within a normal range for many adults. There is no direct association with bisacodyl administration, so this is considered an unrelated finding.