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Question
John Alexander is an 89-year-old male who is a 10-year resident of a long-term care center. He has not had a bowel movement for 4 days. He states, "I usually have a BM every other day." Mr. Alexander had a history of bowel surgery in 2005 for a cancerous tumor of the transverse colon. He has a distended abdomen, and hypoactive bowel sounds in all 4 quadrants. He reports he has abdominal pain and is oozing liquid stools. Mr. Alexander has a poor appetite and needs encouragement to drink fluids. He has been very sedentary lately and has not walked around the center like he usually does. The physician orders a high fiber diet, fluid intake of 2500 mL daily, oral laxative, and an oil retention enema for Mr. Alexander.
1. What are the priority nursing diagnoses for Mr. Alexander?
2. What is the priority nursing intervention(s) for Mr. Alexander?
3. What strategies should the nurse employ to reduce the patient's incidence of constipation?
4. How will the nurse know Mr. Alexander's treatments are effective?
5. Write a concept map for Mr. Alexander based on the nursing diagnosis Constipation.
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