Which of the following clients of a nurse practitioner is ...

[HCHenry]

Which of the following clients of a nurse practitioner is demonstrative of a growing trend in the role of grandparents in contemporary American society?
 
  A) A 70-year-old grandmother is raising her two grandchildren because their mother is in prison.
  B) An 80-year-old client of the nurse is going through a divorce with her husband of several decades.
  C) A 79-year-old man laments the fact that he is estranged from his son's children.
  D) A married couple in their seventies who refuse to provide free child care for their grandchildren on a daily basis.

Question 2

A 77-year-old post-surgical patient has been complaining of abdominal pain throughout the nurse's shift. In addition, the patient has a temperature of 101.5F (38.5C) and has had small, frequent, loose bowel movements four times since the morning.
 
  Which of the following health problems would the nurse suspect? A) Fecal impaction
  B) Colon cancer
  C) Appendicitis
  D) Biliary tract disease

[kaillie]

Answer to Question 1

A
Feedback:
A growing number of grandparents have primary responsibility for the care of their grandchildren, a fact that can often be attributed to teen pregnancy, incarceration, or substance abuse. Divorce late in life, estrangement from grandchildren, and refusal to provide care are not noted to be phenomena.

Answer to Question 2

A
Feedback:
Fecal impaction often results in fever and fecal oozing that can be mistaken for diarrhea and is associated with abdominal pain. Colon cancer is less likely to precipitate a fever, and appendicitis and biliary tract disease are unlikely to cause frequent bowel movements.