Question: Assignment 10.1 – Case Study Read The Following Case Study And Answer The Associated Questions. For Multiple Choice Questions, Highlight The Correct Option(s). George Miller, A 68-year-old Man Who Had A Stroke 6 Months Ago, Comes To The Urgent Care Clinic Complaining Of Abdominal Pain And Nausea. He Lives Alone In An Assisted Living Complex. He Was …

Assignment 10.1 – Case Study Read the following Case Study and answer the associated questions. For Multiple Choice questions, highlight the correct option(s). George Miller, a 68-year-old man who had a stroke 6 months ago, comes to the urgent care clinic complaining of abdominal pain and nausea. He lives alone in an assisted living complex. He was never married, and his only relative is a 70-year-old sister who visits him two to three times a week. She is independent and concerned that Mr. Miller is doing okay. Mr. Miller uses a quad cane to ambulate because of hemiplegia on his left side and eats his meals in the central dining room at the complex The complex has no licensed health care workers. Sally Schmitt, a nursing student, is assigned to the urgent care clinic. Her assignment is to perform an initial assessment on Mr. Miller with the acute care nurse practitioner (ANP). While Sally takes his history, Mr. Miller tells her that he has not had a bowel movement in 4 days. On physical examination, Mr. Miller’s abdomen is hard, and he has hyperactive bowel sounds. The ANP determines that Mr. Miller has constipation and has a fecal impaction. 1. Sally is to remove the impaction from Mr. Miller. Sally knows that it is not good for Mr. Miller to strain for a bowel movement. Why could straining cause concern for Mr. Miller? 2. Mr. Miller is also to have a tap water enema to promote bowel evacuation. After getting her equipment ready, in what position should Sally position Mr. Miller on the table? A. Right side-lying position with his left knee flexed B. Right side-lying position with his right knee flexed c. Left side-lying position with his right knee flexed D. Left side-lying position with his left knee flexed 3. Mr. Miller’s sister has come with him to the urgent care clinic and asks Sally what could have caused Mr. Miller to get so constipated? Sally should explain that constipation can be caused by which factors? (highlight all that apply.) A. Ignoring the urge to defecate B. Low-fiber diet and low fluid intake C. Medications D. Depression or cognitive impairment E Aging F. Lack of regular exercise G. Hemorrhoids