An 82-year-old patient with a history of chronic heart and respiratory problems asks the nurse,"What can I do to keep my hemorrhoids from acting up?" Which of the following responses made by the nurse are appropriate? (Select all that apply. )
A)Ask if he experiences constipation with any regularity.
B)Encourage him to increase his fluid intake to 2000 mL daily.
C)Suggest he eat more whole grains and fresh fruits.
D)Discuss how he should include a walk into his daily routine.
E)Ask if he has a history of rectal bleeding.

Question

Quizplus · Accepted Answer

Nursing management of an older patient with hemorrhoids includes the prevention and elimination of constipation.This includes a review of high-fiber,high-roughage foods,including indigestible fiber like whole grains,legumes,and fresh fruits and vegetables.An adequate intake of fluids is also important.Older patients should be encouraged to consume up to 2000 mL of fluids each day unless contraindicated.This patient has heart disease and possibly should not take in that much fluid.The nurse should encourage light exercise on a regular basis and review the importance of a regular toileting routine.Rectal bleeding should be investigated.

An 82-Year-Old Patient with a History of Chronic Heart and Respiratory