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A low-fiber diet, such as when fresh fruits and vegetables are minimal or lacking in the diet, slows transport of materials through the gut which has been linked to colorectal cancer. The response to pain in the elderly maybe lessened because of reduced acuity of touch, alterations in neural pathways and diminished processing of sensory data.The nurse enters the room of a client with chronic obstructive pulmonary disease.Clients on the drug must follow strictly the doctor’s order since skipping the drug can lower the drug level in the blood that can trigger acute adrenal insufficiency or Addisonian Crisis Prior to bronchoscopy, the doctors sprays the back of the throat with anesthetic to minimize the gag reflex and thus facilitate the insertion of the bronchoscope.Giving the client food and drink after the procedure without checking on the return of the gag reflex can cause the client to aspirate. Administering Demerol, which is a narcotic analgesic, can depress respiratory and cardiac function and thus not given to a patient in shock.Complications can occur during this period as a result of the surgery or the anesthesia or both.Keeping close track of changes in the VS and validating them will help the nurse initiate interventions to prevent complications from occurring.To increase the chance of the stone passing, the nurse would instruct the client to force fluids and to A nurse at the weight loss clinic assesses a client who has a large abdomen and a rounded face.

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The irritation causes the cough which initially maybe dry, persistent and unproductive.The client, after gastroscopy, has temporary impairment of the gag reflex due to the anesthetic that has been sprayed into his throat prior to the procedure.Giving fluids and food at this time can lead to aspiration.This can best be assessed by checking the back and the sides of the operative dressing as the blood may flow towards the side and back leaving the front dry and clear of drainage. Nausea is one of the common complaints of a patient after receiving general anesthesia.After surgery, Gina returns from the Post-anesthesia Care Unit (Recovery Room) with a nasogastric tube in place following a gall bladder surgery. But this complaint could be aggravated by gastric distention especially in a patient who has undergone abdominal surgery. Checking on the patency of the NGT for any obstruction will help the nurse determine the cause of the problem and institute the necessary intervention.

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