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The nurse is caring for a client in the clinic. Nurses' Notes Initial Clinic Visit The client reports progressive fatigue and weakness over the past 2 months. Pallor and minor glossitis are noted. Laboratory results show hemoglobin of 9.5 g/dL (95 g/L). The client is instructed to take an iron supplement for treatment of iron-deficiency anemia. Clinic Visit: 2 Weeks Later The client reports discomfort and straining with bowel movements over the past week. Stool has become increasingly hard and pellet-like. The client reports feeling bloated with "crampy" abdominal pain that is relieved with defecation. The abdomen is nontender to palpation. For each potential intervention, click to specify if the intervention is expected or unexpected for the care of the client. Potential Intervention Expected Not Expected Recommend a stool softener Take the iron supplement with meals Encourage warm fluids with breakfast Increase consumption of dairy products Increase intake of raw fruits and vegetables Drink eight to ten 8-oz glasses of water per day Note: Each row must have one response option selected.
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