Author Question: The nurse develops a plan of care for a 75-year-old male patient who has had a myocardial infarction ... (Read 82 times)

newyorker26 · **on:** Jul 11, 2018

The nurse develops a plan of care for a 75-year-old male patient who has had a myocardial infarction (MI). Which of following characteristics of the man's history and present conditions predispose him to constipation? (Select all that apply.)

A) The man has a history of GERD.
B) The man takes a beta-blocker for the treatment of hypertension.
C) The man's activity level is significantly reduced as a result of his MI.
D) The man has received several doses of morphine since admission.
E) The man's fluid intake has been minimal since admission.

Question 2

When talking with elderly Native Americans and Asian Americans, it is important for gerontological nurses to recognize that:

A) Both cultures are in the process of replacing traditional values with modern medicine
B) These clients may be reluctant to express their thoughts and feelings openly
C) Ritualistic and spiritual healing methods are preferred over modern medical services
D) These clients expect to be treated and cared for by family members exclusively.

mtmmmmmk · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C, D, E
Feedback:
Decreased activity, low fluid intake, and opioid use are implicated in the development of constipation. A history of GERD and the use of antihypertensive medications are not.

Answer to Question 2

B
Feedback:
In both cultures, traditional attitudes and values persist, although both are willing to accept mainstream medical services in the United States. Ritualistic and spiritual methods may be employed, but they are not necessarily preferred. Family ties are strong, but home care is not necessarily expected. What these groups share is their reticence to reveal personal information to strangers or to speak openly about their health or family problems.