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    Ati med surg gerontology proctored exam

    In what ways does constipation significantly impact hospitalized older adults, necessitating close clinical management?

    Explanation & Rationale

    A. It paradoxically promotes gastrointestinal motility, diminishing the likelihood of bowel impactions: Constipation slows peristalsis rather than promoting motility. Instead of reducing risk, it directly increases the likelihood of impaction, obstruction, and discomfort. B. It intricately complicates the management of chronic conditions, leading to decreased hospital stay durations: Constipation can indeed complicate chronic disease management, but it is more likely to prolong rather than shorten hospital stays. C. It commonly exacerbates pre-existing health conditions, heightening the risk of complications such as bowel impactions and delirium: Constipation in hospitalized older adults often worsens existing health issues. It may lead to severe complications such as impaction, bowel obstruction, urinary retention, or even delirium due to pain and discomfort. D. It frequently contributes to enhanced urinary function and reduced risk of urinary tract infections: Constipation increases pressure on the bladder, often leading to urinary retention or incomplete emptying. This promotes bacterial growth and raises the risk of UTIs.

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