Which patient is most at risk for diarrhea?
A 40-year-old female with major depressive disorder
A 21-year-old female with three final examinations on the same day
A 5-year-old child who ignores the urge to defecate owing to embarrassment
An 80-year-old male in an assisted-living environment
The Correct Answer is B
A. Major depressive disorder can affect bowel habits, but it is more commonly associated with constipation rather than diarrhea.
B. Stress, such as that experienced by the 21-year-old female with multiple final exams, can lead to gastrointestinal symptoms like diarrhea due to the effect of stress hormones on the digestive system.
C. Ignoring the urge to defecate typically leads to constipation rather than diarrhea.
D. Older adults are at risk for constipation due to reduced intestinal motility rather than diarrhea, unless they are taking medications that can cause diarrhea.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A urine specific gravity of 1.015 is within the normal range, so it is not indicative of dehydration.
B. Cloudy urine may indicate infection but is not a hallmark sign of dehydration.
C. A urine osmolality of 200 mOsm/kg is low and more consistent with overhydration rather than dehydration.
D. Dark-colored urine is a common sign of dehydration, as concentrated urine results from reduced fluid intake.
Correct Answer is A
Explanation
A. Decreased intestinal peristalsis is a common physiological change in older adults, which can lead to constipation.
B. Older adults typically have decreased gastric acid production, not increased.
C. Muscle tone of the bowel often decreases with age, leading to slower transit times.
D. Stomach pH may increase due to decreased acid production in older adults, not decrease.
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