The nurse is performing a comprehensive health assessment on several clients in the community clinic. Which clients are most at risk for developing hemorrhoids? Select all that apply
a. A client with a history of constipation
b. A client with a history of prostate cancer
c. A woman who has had four children
d. Clients older than 65 years
A, C
Hemorrhoids may be seen in patients with a history of constipation. Many women develop hemorrhoids with pregnancy and childbirth. Although an enlarged prostate causes urinary problems, there is no indication that this causes hemorrhoids. There is no evidence that older adults are at a higher risk for hemorrhoids.
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A 75-year-old patient newly diagnosed with type 2 diabetes mellitus asks how the disease developed since weight management and exercise have been practiced her entire life. Which response should the nurse make to this patient?
1. "This disease is inevitable since everyone who ages will develop diabetes." 2. "The pancreas becomes hardened and unable to produce insulin with aging." 3. "The body loses the ability to digest carbohydrates as a normal part of aging." 4. "The body gradually reduces the production of insulin as a normal part of aging."
A patient in heart failure has a decrease in glomerular filtration rate to 15 ml/min. The patient had been taking digoxin and hydrochlorothiazide. Given the change in the patient's status, what dosage alteration(s) would the nurse anticipate?
a. The medication doses would remain unchanged. b. The hydrochlorothiazide would be changed to furosemide. c. Spironolactone would be added to the digoxin and hydrochlorothiazide. d. No change should be necessary.
Medications that are SSRIs include all EXCEPT which of the following?
a. sertraline (Zoloft) b. fluvoxamine (Luvox) c. trazodone (Desyrel) d. paroxetine (Paxil)
Baby H.'s mother has decided to breastfeed her infant. She asks for assistance
Identify six important points to include in your teaching plan. What will be an ideal response?