Question

35. An 80-year-old woman lives with her husband of 50 years. Even though she has a heart condition, she attends an exercise class for seniors twice a week, She and her husband make sure they drink 4 ounces of juice at all three of their daily meals. What factors would place this woman at risk for constipation? her exercise regimen a. b. her cardiac condition her fluid intake C. d. her dietary intake her stress level е. her age f. 38./The nurse recruit is to give instructions to a client who is to receive stratterra. Which of the following statements contain the correct information for this client? Select all that apply. "It can cause an increase in appetite." b "It may be discontinued without being tapered." "The use of herbal products may be continued." C. "It can be administered without regard to food." d "Dyspepsia may be an adverse effect." e. f "Rapid VS fluctuations may occur if taken concurrently with MAOIS." Self-care instructions for the client being discharged on oral ritourine include which of the following? Select all that apply. Avoid sexual intercourse. a. b. Limit sexual intercourse to once per week Avoid breast massage C. d. Maintaining strict bed rest. Modified bed rest. f. Decrease of fluid intake. APP 7aul nn) anbstw

Answer 1

35. f. her age

Rationale:

As age increases, the function of the gastrointestinal tract altered and results in fewer bowel movements. Further intake of medication also increases constipation. Hence age is the common risk factor for constipation for all elders. So option f is correct.

Exercise, fluid intake, dietary fiber, improve bowel movement and loosen the stools. Hence this is not associated with constipation. So option a,c,d are incorrect. This woman is active and shows no symptoms of stress. Constipation may increase the risk of heart disease but heart disease cannot contribute to constipation. Hence option b, e is incorrect.

38. d. It may be administered without regard to food.

e. Dyspepsia may be an adverse effect.

f. Rapid Vs fluctuations may occur if taken concurrently with MAOIs.

Rationale:

Strattera is administered in the treatment of ADHD. It can be administered with or without food. It leads to side effects of nausea, decreased appetite, constipation, dry mouth, nausea. It interacts when taken with antidepressant-like MAOIs. So option d,e,f are correct.

Strattera decreases appetite. It should not be discontinued without doctor's advice. Herbal products should not be continued with these drugs. So option a,b, c is incorrect.