An older adult reports chronic constipation. When asked why this ...

[londonang]

An older adult reports chronic constipation. When asked why this problem has gotten worse with age, the nurse responds
 
  a. As we age, our bodies require more fiber to bring about healthy bowel function.
  b. We need to discuss the proper use of laxatives to minimize constipation.
  c. It's possible that you have lost the ability to feel when you need to move your bo-wels.
  d. Aging brings about decreased gastric motility that often results in constipation.

Question 2

4. A patient has a glomerular filtration rate (GFR) of 19 mL/min/1.73m2. What assessment findings correlate with this condition? (Select all that apply.)
 
  a. Fatigue
  b. Weakness
  c. Edema
  d. No specific symptoms
  e. Headaches

[dreamfighter72]

Answer to Question 1

A
The most widespread cause of constipation in older adults is diet. Diets need to include 20 to 30 mg of fiber a day and plenty of water. Some changes in nerve function and gastric motility are also possible causes, but the major cause is diet. Laxatives should only be used as a last resort.

Answer to Question 2

A, B, C
This patient is in stage 4 of chronic kidney disease. Expected assessment findings include weak-ness, edema, fatigue, hypertension, heart failure, impaired cognition and immune function, dry skin and pruritus, anorexia, nausea, malnutrition, increased bleeding, anemia, peripheral neuro-pathy, and an overall decreased quality of life. In stages 1 and 2, patients are asymptomatic. Headache is not a finding.

[londonang]

Thank you

[dreamfighter72]

No problemo