Patient Data Review H and P, nurse's notes, flow sheet, and prescriptions. Click to mark whether the assessment finding represents a therapeutic result of the bisacodyl administered, a non-therapeutic side effect, or an unrelated finding. Each row must have one option selected.
Explanation & Rationale
Therapeutic Result: Semifluid stool Non-therapeutic Side Effect: Non-blanchable red area Sinus tachycardia Burning sensation Unrelated Finding: Pain rating 2 on pain scale of 0 to 10 Itching in legs Blood pressure 135/81 mm Hg Rationale: Non-blanchable red area: A non-blanchable red area indicates localized skin damage and early pressure injury. It likely results from immobility and pressure near the buttock area, especially in a client on strict bedrest, rather than an effect of bisacodyl. Pain rating 2 on pain scale of 0 to 10: The lower pain rating reflects effective pain management after receiving analgesics. It is a measure of comfort but not directly influenced by the administration of bisacodyl, which targets bowel function. Sinus tachycardia: Sinus tachycardia can occur due to pain, stress, mild dehydration from increased bowel activity, or systemic response to immobility. It is not a typical response to bisacodyl use and requires further clinical monitoring. Itching in legs: Itching is most likely related to nerve irritation, healing wounds, or dry skin from immobility rather than gastrointestinal effects. Bisacodyl does not commonly cause peripheral itching. Blood pressure 135/81 mm Hg: Blood pressure is within a stable range and reflects the client’s cardiovascular status. It is not directly connected to bisacodyl administration or its gastrointestinal actions. Semifluid stool: The semifluid stool is the intended therapeutic effect of bisacodyl, which stimulates peristalsis to promote bowel movement. This outcome shows the medication worked appropriately for constipation management. Burning sensation: The burning sensation around the anus is a known side effect of rectal bisacodyl administration. Local irritation of the rectal mucosa can occur after suppository use, especially with frequent bowel movements.