Author Question: An older adult who has iron deficiency anemia complains of abdominal pain, fullness, and diarrhea ... (Read 93 times)

tingc95 · **on:** Jul 11, 2018

An older adult who has iron deficiency anemia complains of abdominal pain, fullness, and diarrhea over 24 hours. Which patient data potentially indicate a systemic cause of this individual's constipation?

a. Abdominal pain
b. Feeling of fullness
c. Loose, watery stools
d. Iron deficiency anemia

Question 2

Which of the following is on the list of drugs considered suitable for the older adult?

a. Indomethacin (In-docin) c. Chlorpheniramine (Chlor-Trimeton)
b. Reserpine (Reser-pine) d. Bupropion (Well-butrin)

Smiles0805 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A

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A Correct. Abdominal pain is a potential indicator of an underlying pathological gastrointestinal condition that can manifest as constipation.
B Incorrect. Feeling full does not cause constipation but can be an nonsystemic indicator of constipation.
C Incorrect. Diarrhea is not a systemic indicator for constipation, although it can occur simultaneously with constipation since the watery stool leaks around the hard stool.
D Incorrect. Iron deficiency anemia is an unlikely cause of constipation unless the older adult is taking iron supplements; however, the supplements would contri-bute to a mechanical or pharmacological cause for constipation.

Answer to Question 2

D
Bupropion is a safe antidepressant for an older adult that is also less likely to cause sexual dys-function than other nonsteroidal SSRIs. Indomethacin is unsuitable for an older adult because it produces the most central nervous system effects of all nonsteroidal antiinflammatory agents. Reserpine is unsuitable for an older adult because it poses a risk of depression, sedation, and or-thostatic hypotension. Chlorpheniramine and similar antihistamines are unsuitable for an older adult because of their anticholinergic properties.