An 82-year-old patient with a history of chronic heart and respiratory problems asks the nurse, "What can I do to keep my hemorrhoids from acting up?" Which of the following responses made by the nurse are appropriate? (Select all that apply.)
a. Ask if he experiences constipation with any regularity.
b. Encourage him to increase his fluid intake to 2000 mL daily.
c. Suggest he eat more whole grains and fresh fruits.
d. Discuss how he should include a walk into his daily routine.
e. Ask if he has a history of rectal bleeding.
A, C, D, E
Nursing management of an older patient with hemorrhoids includes the prevention and elimina-tion of constipation. This includes a review of high-fiber, high-roughage foods, including indi-gestible fiber like whole grains, legumes, and fresh fruits and vegetables. An adequate intake of fluids is also important. Older patients should be encouraged to consume up to 2000 mL of fluids each day unless contraindicated. This patient has heart disease and possibly should not take in that much fluid. The nurse should encourage light exercise on a regular basis and review the im-portance of a regular toileting routine. Rectal bleeding should be investigated.
You might also like to view...
Which of the following individuals is most at risk for type 2 diabetes?
1. A 40-year-old with weight centered in the abdomen 2. A patient following a high-protein diet 3. A 30-year-old Caucasian patient who recently had a baby 4. A patient living in rural America
A staff nurse asks a student, "Why in the world are you studying nursing theory?" How would the student best respond?
A) "Our school requires we take it before we can graduate." B) "We do it so we know more than your generation did." C) "I think it explains how we should collaborate with others." D) "It helps explain how nursing is different from medicine."
Beck suggests that the etiology of depression is related to
A. sleep abnormalities. B. serotonin circuit dysfunction. C. negative processing of information. D. a belief that one has no control over outcomes.
The nurse has concluded the assessment of a client recently diagnosed with undifferentiated somatoform disorder
The client states her most significant source of stress is the fact that "no one believes how sick I am" despite her varied physical complaints. Based on these data, the most appropriate nursing diagnosis is which of the following? A) Anxiety related to chronicity of symptoms as evidenced by dependency B) Ineffective Coping related to unresolved psychological issues as evidenced by inability to express feelings verbally C) Chronic Low Self-esteem related to physical symptoms that inhibit the client's daily functioning D) Risk for Spiritual Distress related to feelings of isolation