SOLVED721

A 30 year old female presents with complaints of abdominal bloating over the last few days. She states she has a history of constipation. She has only passed small hard stools over the last week, so she increased her fiber to 40 grams a day. She denies any nausea, vomiting, blood in stool, dark/tarry stool. She denies any history of surgery. Her medication list is below and an abdominal x-ray is below. Which of the following is most appropriate? Metformin 1 gram BID (diabetes) lisinopril 10 mg daily (hypertension) Multivitamin Vitals: BP 141/91, P 82, R 16, T 98.6, POX 98 Exam: In no acute distress, abdomen nontender to palpation, rectal exam reveals no abnormalities. Group of answer choices Decrease metformin; prescribe psyllium, 30 grams daily; return in three days if no resolution or sooner if worsening Maintain current medication regimen; prescribe polyethylene glycol (PEG-3350), 17 grams daily; return in three days if no resolution or sooner if worsening STAT referral to general surgery Discontinue metformin; prescribe glimepiride, 2 mg daily; prescribe docusate sodium, 100 mg BID; return in three days if no resolution or sooner if worsening
SCIENCE
HEALTH SCIENCE
NURSING

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