Margaret Leland is 76 years old; she is retired and lives alone. Her only daughter lives two hours away. She has a past medical history of heart attack, smoking for 20 years, hypertension, and type 2 diabetes. She complains of decreased appetite and disinterest in food. Ms. Leland is discharged from the hospital and returns for her follow-up appointment complaining of continued constipation. What
is likely contributing to her change in bowel pattern?
A) increased activity
B) diuretic usage
C) increased intake of food
D) increased intake of water
B
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