1 NURS 634 M=DTERM 2023 ACTUAL EXAM UPDATED QUEST=ONS AND ANSWERS VER=F=ED 100% GRADED A+ 42-year-old florist comes to your office, complaining of chronic constipation for the last 6 months. She has had no nausea, vomiting, or diarrhea and no abdominal pain or cramping. She denies any recent illnesses or injuries. She denies any changes to her diet or exercise program. She is on no new medications. During the review of systems you note that she has felt fatigued, had some weight gain, has irregular periods, and has cold intolerance. :er past medical history is significant for one vaginal delivery and two cesarean sections. She is married, has three children, and owns a flower shop. She denies tobacco, alcohol, or drug use. :er mother has type 2 diabetes and her father has coronary artery disease. TheFre is no family history of cancers. On examination she appears her stated age. :er vital signs are normal. :er head, eyes, ears, nose, throat, and neck examinations are normal. :er cardiac, lung, and abdominal examinations are also unremarkable. :er rectal occult blood test is negative. :er deep tendon reflexes are delayed in response to a blow with the hammer, especially the Achilles tendons. What