Arizona Certified Nursing Assistant (CNA) Practice Test

A resident reports a very large bowel movement two days ago. What is the first action the nurse aide should take?

1. Provide a laxative to the resident

2. Ask if this is a normal pattern for the resident

3. Inform the nurse immediately

4. Check the resident's diet for fiber

The correct answer is: Ask if this is a normal pattern for the resident

In this scenario, the most appropriate initial action for the nurse aide to take is to ask if this is a normal pattern for the resident. Understanding the resident's usual bowel habits is crucial for assessing their current situation accurately. Each individual has different normal patterns when it comes to bowel movements, which can vary based on factors such as diet, fluid intake, medication, and underlying health conditions. By inquiring about whether this large bowel movement is typical for the resident, the aide can gather important contextual information. This allows for a more informed assessment of whether there may be an issue that needs to be addressed, such as potential constipation or changes in diet. It also helps establish a trusting relationship and encourages open communication, which is essential in a healthcare setting. Providing a laxative, informing the nurse immediately, or checking the resident's diet for fiber might all be appropriate follow-up actions, but these should come after understanding the resident's usual pattern. This step ensures that any intervention taken is based on the resident’s specific needs and circumstances.