Which of the following is most likely?

Monique is a 33-year-old administrative assistant who has had intermittent lower abdominal pain approximately one week a month for the past year. It is not related to her menses. She notes relief with defecation, and a change in form and frequency of her bowel movements with these episodes.

A) Colon cancer
B) Cholecystitis
C) Inflammatory bowel disease
D) Irritable bowel syndrome


D) Irritable bowel syndrome

Although colon cancer should be a consideration, these symptoms are intermittent and no note is made of progression. Cholecystitis usually presents with right upper quadrant pain. Inflammatory bowel disease is often associated with fever and hematochezia. Because there is relief with defecation and there are no mentioned structural or biochemical abnormalities, irritable bowel syndrome seems most likely. This is a very common condition which can be triggered by certain foods and stress.

Nursing

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Which condition is a possible severe adverse effect of beta blockers?

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An example of mechanical digestion includes

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A local community has a significant population of migrant workers. In response, a community health nurse plans to prevent a program to the local community about this population

As part of the program the nurse plans to include information about Cesar Chavez, describing him as which of the following? A) A Mexican president who worked to keep people from crossing the border illegally B) A well-known actor who advocates for increasing the number of Latinos in Hollywood C) The senator who wrote the Children's Health Insurance Program (CHIP) bill D) Founder of the United Farm Workers who spent his life fighting for social justice

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