Gerri is a 32-year-old mother of two children who is in the office for a routine annual examination. She tells you that she feels good most of the time, but she has frequent problems with constipation. Which of the following recommendations would help Gerri?
A. "Reduce your daily fluid intake."
B. "Use an enema once or twice a week."
C. "Reduce your level of activity when constipation occurs."
D. "Increase the amount of fiber in your diet."
E. "Stop taking any medications that list constipation as a side effect."
Answer: D
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A lethargic 8-year-old boy is in respiratory distress. His airway is patient and respiratory rate is 12 breaths per minute. His breath sounds are diminished bilaterally and you note accessory muscle use with inspiration and expiration. His pulse is 84 beats per minute and his SpO2 is 88percent. Which of the following should you do next?
A) Recheck the SpO2 on another finger. B) Begin positive pressure ventilation. C) Get a history and begin a secondary exam. D) Initiate immediate transport to the hospital.
Under the Hospital Survey and Construction Act of 1946, the responsibility for hospital planning
a. remained in the hands of the federal government b. was delegated to local county and city governments c. was given to the states d. was given to private insurers