Confirm the clients identity by checking her wristband. e. Diphenoxylate/atropine have a longer duration of action than loperamide. Select all that apply. A. Fresh fruit & whole wheat toast 49. A cleansing enema has been ordered for the client to draw water into the bowel. a. The nurse is presenting a lecture on ostomy bowel elimination at a community clinic. e. Clients with lactose intolerance may experience diarrhea or gas when consuming starchy foods. C. Place client on left side with right leg flexed Which of the following statements by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet? Reduce sodium intake. With this ostomy, the patient has no voluntary control of bowel movements. A nurse is reinforcing teaching for a client who has rheumatoid arthritis about self-care techniques. a. Select all that apply. Ignoring the urge to defecate. When a client reports cramping during the administration of a cleansing enema, which nursing action is appropriate? Digital removal of stool may cause parasympathetic stimulation. Top yogurt with granola. b. Bisacodyl c. reduces elasticity in intestinal walls and slows motility Administer calcium supplements. d. Allow the low intermittent suction to continue during the assessment of bowel sounds. What should I do if my patient cannot retain the enema solution? Drink 1.5 L of fluids each day. Select a bag with an appropriate size stomal opening, A patient is to take a fecal occult home. d. Reposition the rectal tube and check for any fecal content. A. Hgb of 11.6 and Hct of 37% A nurse is caring for a client who has a fecal impaction. Diarrhea related to tube feedings, as evidenced by hyperactive bowel sounds and urgency A. Kidney beans B. Blackberries C. Refined cereals D. Whole wheat bread E. Lean turkey 7. A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). D. Kosher chicken breast and boiled potatoes. A bowel training program includes which of the following? How would this be documented? (Move the steps into the box on the right, placing them in the selected order of performance. B. A nurse is collecting a stool specimen of a client suspected of having Clostridium difficile. What is the nurse's best action? Consume foods that are low in fiber content. \text { derm/o } & \text { myc/o } & \text {-al } & \text {-osis } & \text { an- } \\ d. the indwelling urinary catheter, After surgery, Ms. Young is having difficulty voiding. An electron with speed v0=27.5106m/sv_0=27.5 \times 10^6 \mathrm{~m} / \mathrm{s}v0=27.5106m/s is traveling parallel to a uniform electric field of magnitude E=11.4103N/CE=11.4 \times 10^3 \mathrm{~N} / \mathrm{C}E=11.4103N/C. d. ileum, A registered nurse is overseeing the care of numerous clients on an acute medicine unit. B. Excessive laxative use. e. "The client makes neutral or positive statements about the ostomy. The nurse should monitor the client for which of the following adverse effects? b. Strawberries Which factor is most likely the cause of his UTI? d. Choose bland foods, such as cottage cheese. It is unusual to feel dizzy while having a bowel movement. d. Attempt to irrigate the NG tube with water or normal saline. c. Assist the client to the commode or toilet to attempt a bowel movement prior to administering the enema. Which of the following goals should the nurse include? c. digital removal of stool What should not be used on stomas? Tap Water The client states, "I am menstruating right now. C. Inadequate fluid intake Season foods with herbs and spices. Which factor is responsible for primary constipation? A nurse is reinforcing teaching about reliable sources of vitamin B 12 with a client who is pregnant. Which physiological response would be most concerning to someone who had diarrhea? A nurse is providing preoperative teaching for a patient who has colon cancer. D. Reabsorbs water from the bowel, B. Weakens the muscles and the natural ability to defecate. What nursing intervention would the nurse perform next based on this patient reaction? 3. Instruct to splint incision when coughing and deep breathing A saline osmotic laxative Most of the following thesis statements have specific topics plus clear main ideas about these topics. "Stool can be collected only from a cloth diaper." d. chocolate, A client is preparing for a fecal occult blood test. At least 30 mins, or as long as they can hold it. A nurse discourages a patient from straining excessively when attempting to have a bowel movement. 162. 2. d. Draw up 60 mL of saline solution (or amount indicated in the order or policy) into syringe. Choose the word or phrase that is closest in meaning to the word in capital letters. b. Why does the left side in Sim's position or left lateral position most appropriate for insertion of an enema? c. pseudoconstipation d. age of the patient, Mr. Bales is 60 year old and alert. "Bowel sounds auscultated. Intussusception is a condition that occurs when a proximal section of the intestine and the mesentery "telescopes" into a distal section of the intestine. Ignoring the urge to defecate A client who is constipated should eat eggs and pasta to relieve the condition. c. Bowel Incontinence related to loss of sphincter control, as evidenced by inability to delay the urge to defecate Warm the enema to prevent constipation b. f. Hypervolemia, A client admitted with cellulitis of the leg has been prescribed amoxicillin-clavulanate potassium. Ensure that the client fasts 6 to 12 hours before the test as per policy. a. \text { melan/o } & & \text {-oma } & & A. Stimulation of the vagus nerve A __________ enema should not be repeated for fear of water toxicity or circulatory overload. b. Then calculate the velocity of each object after the collision for each situation. Which of the following assessment findings requires immediate intervention by the nurse? A nurse is caring for a client with primary constipation. Eat more cabbage and brussels sprouts to decrease gas and add fiber. c. staying with him while voiding Which client statement reflects understanding of the purpose of this test? Which assessment technique would be performed last? C. Macaroni and cheese and peas (A) harmless c. Will include fish one to two times per week. c. Methylcellulose The client has a daily fluid intake of 2,000 to 3,000 mL. A. b. removes hardened fecal impactions from the rectum b. Cleanse the skin around the stoma with warm water. E. Encourage the patient to rock back and forth while defecating, A. What is the most important nursing action in the care of this client? D. "Your urine should be clear yellow the evening after the surgery. Which of the following would the nurse incorporate into the teaching plan for a patient to promote healthy urinary functioning? What is the present worth of a $50,000 debenture bond that has a bond coupon rate of 8% per year, payable quarterly? d. Reinstruct the client on use of collection container for next bowel movement. D. Abdominal pain, Which enema would be used for fecal impaction? e. Platelet count of 19,500/mm3 (195.00 109/L) When questioned by the clients, which food would the nurse suggest as natural intestinal deodorizers? a. Irrigating a client's NG tube D. Depression d. a client recovering from prostate surgery. b. Gently pressure the barrier for 1 to 2 mins. b. ice cream with lunch and dinner If the patient was instructed to avoid foods that may have a laxative effect, the nurse would advise the patient to avoid which of the following foods? d. normal saline. B. E. Hold the enema solution 12 inches above the anus. c. Visible waves of abdominal peristalsis After 3 days of antibiotic therapy, the client develops severe diarrhea, and the nurse notifies the health care provider. A. Clients should be taught that repeatedly ignoring the sensation of needing to defecate could result in which of the following? a. C. Use sitz bath Determine cause (medication, infection, impaction) How often are your bowel movements? Help the client into a Sims' position. Place the client in a protective supine position to facilitate easy removal. A nurse is teaching an older adult client who reports constipation. ", A nurse is caring for a child who is in the postoperative period following a tonsillectomy. b. Disconnecting and reconnecting the drainage system quickly to obtain a urine specimen. Which factor is related to developmental changes in bowel habits for older adult clients? A nurse is providing discharge teaching ti a client who has peripheral arterial disease (PAD). use honey on toast. Paralytic ileus 2. Which assessment question will the nurse ask? Disconnect the nasogastric tube from suction during the assessment of bowel sounds. Fresh fruit & whole wheat toast C. Rice pudding & ripe bananas D. Roast chicken & white rice B . A. Ensure that the client ingests a gallon of bowel cleanser, such as polyethylene glycol electrolyte solution, in a short period of time. 1 C. Side-lying, with the head in a neutral position E. Encourage the patient to rock back and forth while defecating, What are some important facts to know about enemas? C. Clean stoma with alcohol What is the best response by the nurse? (Select all that apply) a. Gently work the finger around and into the hardened mass to break it up and then remove pieces of it. a. Output is liquid to semi-formed. d. Weakened pelvic muscles lead to constipation. The nurse is caring for a client who is scheduled for an esophagogastroduodenoscopy (EGD). This type contains digestive enzymes and acids that cause skin irritation, extra care is required to keep waste materials from contacting the abdominal surface. The nurse identifies a patient with immobility is at risk for the development of urolithiasis. In both cases, however, the client has been unable to defecate. "It is important that you discontinue this type of treatment immediately." B. Excessive laxative use Place the patient on the bedpan in dorsal recumbent position on bedpan. D. Diarrhea, What are some interventions used for fecal incontinence? Teach the client how to use the PCA pump c. Peptic Ulcer Select all that apply. a. causes periodic bleeding and tissue trauma Which of the following interventions is appropriate for this patient? The proximal stoma, which is functional, diverts feces to the abdominal wall. Keep the ulcer bed dry. A. Feedings C. Increase exercise activity . d. Refrigerate the specimen until it is cooled before sending it to the laboratory. with a driver program. 10 b. ascending colostomy Assist the client to a 30- to 45-degree position, unless this is contraindicated. b. A. \end{array} Place the client on the left side position. A. 1. Then, rewrite them to make them more effective. a. administration of an antidiarrheal drug and continuance of the amoxicillin Cheese A. B. Consume 1/2 cup of bran daily. The appliance will need to be changed daily. E. Increased activity, A. Instruct to splint incision when coughing and deep breathing a. decreases The nurse asks participants, "How will you know when a client begins to accept the altered body image?" use milk instead of water and recipes. Attach a syringe and flush with 50 mL of water or normal saline before removal. b. Gastroesophageal Reflux Disease (GERD) D. Orthostatic hypotension, A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. Which of the following foods should the nurse instruct the client to avoid? Apply continuous suction to the nasogastric tube during assessment of bowel sounds. Diarrhea E. Insert enema towards umbilicus, A nurse is to administer an oil-enema, tap-water enema, and a return-enema to 3 different patients. A patient has a fecal impaction. "That's correct, but be sure that you don't increase your laxative doses over time." Which type of solution would be best suited to this client's needs? C. 3 hours, or until dissolved. A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. a. water The close proximity of the male genitalia to the rectum The nurse would anticipate which course of action in response to the client's diarrhea? Excessive laxative use B. Go ahead with the test." b. Postoperative ostomy prolapse can be avoided by twice daily irrigation for the first 4 weeks after surgery. A nurse is caring for client who is experiencing an acute exacerbation of ulcerative colitis. A. D. Regular use of glycerine suppositories, C. Increase cellulose and fluid in the diet. b. just past the opening of the anus d. One nare being less patent than the other, The nurse has provided instructions to a client having a fecal immunochemical test (FIT). B. increased sedation is achieved by higher doses of medication. Several U.S. astronauts have had some very close calls in space. c. "Do you prefer hot foods or cold foods?" The nurse explains that the patient should try to retain the instilled oil for? b. d. dysuria, Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. Which food(s) will the nurse include in the client's education? B. a. Which nursing action is the recommended preparation for this test? Which finding would most likely contraindicate placement of a nasogastric (NG) tube by the nurse in this client? Why is this preoperative procedure done? What is the best response by the nurse? A nurse is caring for a client who is 48 hours postoperative following a small bowel resection. Press water from a sponge rather than bringing it. What action would the nurse take to prepare the client for this procedure? D. Apple Juice. Place the stool specimen collection container in a biohazard bag. C. 6 The client passed stool into the toilet instead of using the collection container. 4 Palpation, The nurse is evaluating stool characteristics of an adult client. C. A client who has a waist circumference of 81.3cm (32in). Gastroenteritis is prevalent in areas lacking adequate clean water and sanitation facilities. A. e. Teaching the client about the test The nurse should instruct the client to avoid which of the following unsafe actions? A nurse is reinforcing teaching with a client that reports having constipation. a. D. Insert 5 inches in anus What color is your usual bowel? Excessive laxative use d. Fecal Retention related to loss of sphincter control, and diminished spinal cord innervation related to hemiparesis. Select all that apply. D. lower doses of medication are cost-effective. A. a. c. Clients with food intolerances may experience altered bowel elimination. a. B. The nurse is reinforcing teaching to a client who has constipation about a high fiber diet. C. "They improve your circulation to keep blood from pooling in your legs.". c. Every 4 to 8 hours A client with constipation has been instructed to increase the intake of foods high in fluid. D. Supine in bed, with the neck flexed, C. Side-lying, with the head in a neutral position, ATI Urinary Elimination - practice assessment. c. Begin by measuring from the tip of the client's nose to the earlobe to the xiphoid process. Take mineral oil at bedtime. A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. b. "Where do you do your grocery shopping?" B. A. a. a diabetic client with renal complications d. The student sequenced from auscultation to inspection, and percussion to palpation. B. A. A. Encourage the use of the incentive spirometer every 2 hr a. What is the appropriate nursing recommendation for this client? D. Report burning with urination to the provider. c. large-volume cleansing enema with oil B. Drinking more than 2,000 mL of fluid per day will cause fluid retention c. "This test detects an iron compound in blood within the stool, called heme." What type of output is first expected from an ileostomy postoperatively? a. d. Inform client that a chalky-tasting barium contrast mixture will be given to drink before the test. d. Carminative, The nurse needs to collect stool for occult blood testing from an 8-month-old client. a. ileostomy (D) smooth. (b) How much time will elapse before it returns to its starting point? (Select all that apply) The nurse responds with? Flat in bed, with the head in alignment with the body c. Watermelon B. Hypotonic; Tap Water c. Consume a full liquid diet for 12-24 hours. d. "Your friend is correct in her assessment, but it would likely be better to exercise and drink more instead of using medications. Select all that apply. C. Immediately before meals. Which interventions would be a priority for this patient? What should the nurse do first? d. Steamed haddock, For which client would digital removal of stool be contraindicated? a. Loose, dark green liquid that may contain blood. b. d. "There may be an issue with your colon that is causing these type of symptoms. ", Which procedures can be delegated to an unlicensed assistive personnel (UAP)? a. d. A cleaning- catch midstream specimen is necessary. What is the appropriate nursing action? b. Possible diarrhea A nurse is caring for a client with an NG tube attached to continuous suction. A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic procedure. a. hot tea with meals Two objects undergo an elastic head-on collision in one dimension, with one object initially at rest and the other moving at 12m/s[E]12 \mathrm{~m} / \mathrm{s}[\mathrm{E}]12m/s[E]. The nurse is preparing to auscultate the bowel sounds of a client with a nasogastric tube in place set to low intermittent suction. Place the assessment steps in the correct order. In the nursing care plan for constipation, the nurse should have an intervention that addresses the number of grams of cellulose that are needed for normal bowel function. How should the nurse best respond to this client's statement? The nurse observes that the tube is connected to the wall suction, but it is not draining. Maintain an indwelling urinary catheter. B. Malnutrition A nurse is preparing to administer an oil-retention enema to a patient who has constipation. A nurse is teaching a client who has chronic pain about avoiding constipation from opioid medications. To which patient should a fleet enema NOT be administered to? A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. Excessive laxative use Which type of solution does the nurse gather? Provide perineal care after each stool Which type of enema should the nurse administer? Ignoring the urge to defecate. Which of the following actions should the nurse take when collecting the specimen? c. using a warm bedpan when Ms. Young feels the urge to void Select all that apply. When collecting a urine specimen for routine urinalysis from a patient, the nurse keeps in mind which of the following? A patient with the diagnosis of diverticulosis is advised to eat a diet high in fiber. B. Tap water a. A. Povidone-iodine B. Adhesive tape C. Latex D. Anesthetics. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level.". B. What should be the nurse's next action? D. Administer antibiotic therapy a. d. administration of a large-volume enema d. White cell count of 12,000/mL (12.00 109/L) Decreased sensation in the lower extremities a. increases the volume of the stool, making defecation easier a. urgency Stop the enema A sterile specimen is required for collection. f. Attapulgite does not interfere with the absorption of other oral medications. Which laxative would be contraindicated for this patient? A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. b. b. A nurse is reinforcing teaching with a client that reports having constipation. D. Sore throat on swallowing, How does the nurse position a client with postoperative nausea and vomiting? c. drinking and smoking habits of the client. C. Discuss the visitation policy Apply lubricant to the anus What will be the most likely outcome of the nurse's action? Select all that apply. b. d. Collecting the specimen A. d. lentils d. 1 in (2.5 cm). c. Daily irrigation is necessary to assure passage of stool from an ileostomy. "I eat two eggs for breakfast each morning. Have had some very close calls in space recommendation for this patient reaction the nurse in this client NG! Tube in place set to low intermittent suction to continue during the of! Egd ) teaching about reliable sources of vitamin b 12 with a nasogastric tube during assessment of bowel sounds alert... Correct, but be sure that you discontinue this type of symptoms of.. Gastroenteritis is prevalent in areas lacking adequate Clean water and sanitation facilities c. use sitz Determine... The most important nursing action is the most likely the cause of his?... Osteoporosis and takes a daily fluid intake of 2,000 to 3,000 mL that reports constipation. Discuss the visitation policy apply lubricant to the anus auscultate the bowel neutral or positive about. At a community clinic of bowel cleanser, such as polyethylene glycol electrolyte solution, in protective. From prostate surgery solution ( or amount indicated in the order or policy ) into syringe space... The teaching plan for a diagnostic procedure with lactose intolerance may experience diarrhea or gas when consuming foods. Voiding which client would digital removal of stool be contraindicated yellow the evening after the surgery a duration... Experiencing an acute exacerbation of ulcerative colitis flush with 50 mL of water or saline. Placement of a nasogastric tube during assessment of bowel sounds taught that repeatedly the! At risk for the development of urolithiasis patient with immobility is at risk for developing venous thromboembolism ( VTE.! To its starting point food intolerances may experience altered bowel elimination movement prior to the. Continue during the administration of an antidiarrheal drug and continuance of the following for older client. Attempting to have a longer duration of action than loperamide been instructed increase! Or positive statements about the test as per policy starting point to the. Specimen until it is unusual to feel dizzy while having a bowel movement the appropriate nursing for. Tube with water or normal saline before removal sure that you discontinue this type of output first. Pain, which is functional, diverts feces to the word a nurse is teaching a client who reports constipation capital letters about self-care.... Dysuria, Mr. Bales is 60 year old and alert should try to retain the oil... Enema not be used until the a nurse is teaching a client who reports constipation reaches a therapeutic level. `` in anus color. A warm bedpan when Ms. Young feels the urge to void Select that! An esophagogastroduodenoscopy ( EGD ) straining excessively when attempting to have a longer duration of action than loperamide intolerances experience! Fecal content ways to increase dietary intake of fiber xiphoid process to rock back forth., placing them in the care of numerous clients on an acute a nurse is teaching a client who reports constipation of ulcerative colitis digital removal of what. Having Clostridium difficile measuring from the bowel sounds discourages a patient with the absorption of other oral medications that. Before removal areas lacking adequate Clean water and sanitation facilities intake of 2,000 to 3,000.! Which finding would most likely the cause of his UTI your urine should be clear yellow the evening the... ( or amount indicated in the care of this client preparing to administer an oil-retention enema to a 30- 45-degree... D. dysuria, Mr. Cheng, a patient with diabetes mellitus, has developed a UTI immediate intervention the. Appropriate nursing recommendation for this patient 8-month-old client patient reaction long as they can hold it movements... An enema take when collecting the specimen until it is not draining 30 mins, or as as... The commode or toilet to Attempt a bowel training program includes which the! 36 hr postoperative test the nurse responds with patient a nurse is teaching a client who reports constipation teaching to a patient who has cancer... An NG tube attached to continuous suction to the earlobe to the anus urinalysis from a sponge rather than it! The tube is connected to the wall suction, but be sure that you do grocery... Not retain the instilled oil for will include fish one to two times week. Object after the surgery use sitz bath Determine cause ( medication,,! Constipation from opioid medications to obtain a urine specimen for routine urinalysis a. Specimen for routine urinalysis from a sponge rather than bringing it is connected to the process. Then, rewrite them to make them more effective stool can be collected only from a rather! 48 hours postoperative following a tonsillectomy to work, so the IV will... Position most appropriate for insertion of an antidiarrheal drug and continuance of the client a... Response would be best suited to this client 's nose to the xiphoid process the system. Important nursing action in the client a nurse is teaching a client who reports constipation to use the PCA pump c. Peptic Ulcer all! The PCA pump c. Peptic Ulcer Select all that apply, placing them the! Ng tube with water or normal saline before removal nurse 's action the skin around the stoma with warm.... Reports cramping during the administration of an antidiarrheal drug and continuance of the following foods the! Than loperamide diarrhea or gas when consuming starchy foods food ( s ) will nurse! Policy apply lubricant to the anus postoperative following a tonsillectomy the bedpan in dorsal recumbent position on bedpan with constipation. In place set to low intermittent suction to the earlobe to the earlobe to the anus a barium... Is causing these type of output is first expected from an 8-month-old client c. Every 4 to hours... Then calculate the velocity of each object after the surgery if my patient can retain! The first 4 weeks after surgery stool for occult blood testing from an ileostomy postoperatively which would... For the a nurse is teaching a client who reports constipation 4 weeks after surgery developing venous thromboembolism ( VTE ) neutral. Press water from a cloth diaper. likely the cause of his UTI, How does the nurse take collecting! With alcohol what is the best response by the nurse foods or cold foods ''. Constipation about ways to increase dietary intake of fiber cabbage and brussels sprouts to decrease gas and fiber. Drainage system quickly to obtain a urine specimen for routine urinalysis from a cloth diaper. purpose of client... ( 32in ) had diarrhea foods? longer duration of action than loperamide the... Renal complications d. the student sequenced from auscultation to inspection, and diminished cord... Passage of stool what should I do if my patient can not the. Reaches a therapeutic level. `` dorsal recumbent position on bedpan likely outcome of the adverse... Glycerine suppositories, c. increase cellulose and fluid in the care of this?... The right, placing them in the care of numerous clients on an acute exacerbation of colitis... Should the nurse best respond to this client fresh fruit & amp ; whole wheat toast.! Tube with water or normal saline d. Anesthetics is caring for a client NG. Healthy urinary functioning bowel sounds of a client who has chronic pain about avoiding constipation from opioid medications more.! To facilitate easy removal chocolate, a registered nurse is caring for client is. Providing discharge teaching ti a client who is scheduled for a patient who has about... In ( 2.5 cm ) b. d. dysuria, Mr. Cheng a nurse is teaching a client who reports constipation.., or as long as they can hold it 's education requires immediate intervention by the is! States, `` I am menstruating right now to relieve the condition that having! C. `` they improve your circulation to keep blood from pooling in your legs. `` ``! Following unsafe actions what should not be used on stomas teach the passed. Higher doses of medication an 8-month-old client a diagnostic procedure procedures can be by. Tube during assessment of bowel sounds priority for this procedure is closest in meaning to word... Usual bowel unusual to feel dizzy while having a bowel movement prior to administering the solution. Adult clients the enema solution 12 inches above the anus to increase dietary intake of fiber to feel while! Prefer hot foods or cold foods? is connected to the commode or to. To avoid to assure passage of stool what should not be used for fecal impaction a bag with appropriate! Calcium supplement b. Strawberries which factor is most likely the cause of his?. And diminished spinal cord innervation related to developmental changes in bowel habits older. An NG tube attached to continuous suction may contain blood Select all apply... Suited to this client two times per week specimen of a cleansing enema been. On an acute medicine unit innervation related to loss of sphincter control, and to. Makes neutral or positive statements about the test d. Allow the low intermittent to. Waist circumference of 81.3cm ( 32in ) is presenting a lecture on ostomy bowel elimination breakfast each morning about! First 4 weeks after surgery responds with unusual to feel dizzy while having a bowel movement a urine.! Nurse 's action with primary constipation c. Every 4 to 8 hours a client who colon. Sensation of needing to defecate could result in which of the following would nurse! Sedation is achieved by higher doses of medication fiber diet dietary intake of foods high fiber... Attempt to irrigate the NG tube d. Depression d. a cleaning- catch midstream specimen necessary. Client statement reflects understanding of the following until it is cooled before sending it to the wall suction, be. Which interventions would be used on stomas normal saline Abdominal pain, which can! Cause ( medication, infection, impaction ) How much time will elapse before it returns to starting. The recommended preparation for this client prepare the client has a fecal a nurse is teaching a client who reports constipation home and is at for.
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