Question

gland removed. She is resting comfortably in her room with her husband present. The nurse assigned to care for Mrs. Butler has already taken her vital signs: temperature 98.7" blood pressure 112/2mm Hgpulse 62 beats/min, and respirations 22 hrathu min on room air. The museow checking the medication administration record (MAR) to see what medications Mrs. Butler has ordered 1. The nurse notices that Mrs. Butler has been taking her as needed (pe pain medication, hydrocodone Smg acetaminophen 500mg, every 4 hours as ordered. While the nurse is assing Mrs. Butler's pain to determine if another de of pain medication is needed, Mrs. Butler states that she hasn't had a bowel movement (BM) since her surgery 3 days ago. The nurse knows that Mrs. Butler's constipation is most likely caused by which of the following? Opioid use for pain management Mrs. Butler's age C. To much fatin Mrs. Butler's diet D. The thyroidectomy procedure The nurse knows that it is important to immediately start Mrs. Butler on a bowel medication regimen to prevent fecal impaction. Unresolved fecal impaction can result in To determine which bowel elimination methods work best for Mrs. Butler, the nurse asks which of the following pertinente ment questionsSelect all that apply.) "What is your regular begroting B "Do you use axatives, enemas, or stool softeners at home C. "What is your typical daily diet "Do you take iron supplements to What time do you go to sleep each evening

Answer 1

1. Constipation is due to opioids taken as those medicines put gut muscles to sleep leading to constipation.

2. unresolved fecal impaction leads to the following complications such as

• Bowel obstruction
• Perforation
• Ulcers
• Damage to bladder
• Heart attack
• peritonitis etc

3. Answers are A, B, C, D

E is irrelevant question.