A 28-year-old patient is seen with complaints of diarrhea. Which of the following questions would help the clinician establish the diagnosis of irritable bowel syndrome?
a. Feels relief after a bowel movement
b. Sometimes is constipated
c. Does not defecate in the middle of the night
d. All of the above
D
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An older client is diagnosed with disorders of fat metabolism, reduced absorption of fat-soluble vitamins, and slightly elevated blood glucose level
When caring for this client, on which endocrine organ should the nurse focus interventions? A) Pituitary B) Thyroid C) Pancreas D) Adrenal medulla
A client presents to the emergency department with complaints of "feeling like something is ripping in my chest" and sudden onset of mid-back pain. The client has a history of hypertension. What is the top priority for this client?
1. Facilitate an immediate CT scan. 2. Provide pain medication. 3. Contact the client's family. 4. Obtain a surgical history.
What disorder of the anus is this patient likely to have?
A 42-year-old house painter comes to your clinic, complaining of pain with defecation and profuse bleeding in the toilet after a bowel movement. He was in his usual state of health until 2 weeks ago, when he was injured in a car accident. After the accident he began taking prescription narcotics for the pain in his shoulder. Since then he has had very few bowel movements. His stool is hard and pebble-like. He states he has always been “regular” in the past, with easy bowel movements. His diet has not changed but he states that he is exercising less since the accident. His past medical history includes hypertension and he is on a low-dose diuretic. He has had no other chronic illnesses or surgeries. He has a family history of hypertension, coronary heart disease, and diabetes but no cancer. He is divorced and has three children. He smokes two packs of cigarettes per day and quit drinking more than 10 years ago. He has had no recent weight loss, weight gain, fever, or night sweats. On examination he appears muscular and healthy; he is afebrile. His blood pressure is 135/90 with a pulse of 80. His cardiac, lung, and abdominal examinations are normal. He is wearing a sling on his left arm. On observation of his anus you find a swollen bluish ovoid mass that appears to contain a blood clot. Digital rectal examination is extremely painful for the patient. No other mass is palpated within the anus or rectum. A) Anal fissure B) External hemorrhoid C) Anorectal cancer D) Internal hemorrhoid
When the nurse talks with parents of a newborn who was born with a cleft palate, the nurse keeps in mind that surgery for clefts of the hard or soft palate are surgically closed at approximately what age?
a. 3 months c. 1 year b. 6 months d. 1-1/2 years