input: OPTIONS:
- not enough information
- her hands
- sharp pair of scissors
- an existing incision Now, answer this question: Read the following context and answer the question. Context: Not as a nurse, but as a patient. I had my appendix removed in about 1970 before keyhole surgery and the surgeon had not properly stitched the inside incision. This meant I was slowly "leaking" blood into the area between my abdominal cavity lining and my skin. I was kept in the hospital for two weeks and every day the same nurse would come along and open the end of the incision in my skin to relieve the pressure caused by the pooling of my blood. That was fine for the first five days, but the weekend came and she was off duty. Apparently, nobody else knew what to do. By Monday morning, I was in agony and when she arrived, she was appalled I had not been drained during the weekend. The other thing that happened during the weekend was the end of the skin incision, which she had opened, had mostly healed meaning there was no convenient hole for the blood to be drained. The nurse used a sharp pair of scissors to reopen one end of the partly-healed incision, but still the blood would not simply drain of its own accord. She used both hands to squeeze downwards onto the swollen blood reservoir. At first, there was no reaction except agonizing pain, but after a few seconds and a very hard squeeze, the stinking, coagulated blood jetted out of the hole she'd made squirting across the ceiling, down the wall and down her full-length coating her face and the front of her uniform. Despite the pain, I couldn't keep myself from laughing loud and long. She then dressed the wound, directed some junior nurses to clean the ceiling and the wall while she went to clean herself. I apologized for laughing the following day when she returned. She told me she appreciated the humor of the situation so there was no "hard feelings." Question: What did the nurse use to create a hole to drain the blood? Answer:
A:
output: sharp pair of scissors

Read the following context and answer the question. Context: Constipation is not a glamorous topic, but it's certainly important, especially in older adults. As anyone who has experienced occasional or even chronic constipation can tell you, it can really put a damper on quality of life and well-being. Constipation can also cause more substantial problems, such as: * Severe abdominal pain, which can lead to emergency room visits * Hemorrhoids, which can bleed or be painful * Increased irritability, agitation, or even aggression, in people with Alzheimer's disease or other forms of dementia * Stress and/or pain that can contribute to delirium (a state of new or worse confusion that often happens when older adults are hospitalized) * Fecal incontinence, which can be caused or worsened by having a hard lump of stool lodged in the lower bowel * Avoidance of needed pain medication, due to fear of constipation Fortunately, it's usually possible to help older adults effectively manage and prevent constipation. This helps maintain well-being and quality of life, and can also improve difficult behaviors related to dementia. The trouble is that constipation is often either overlooked or sub-optimally managed by busy healthcare providers who aren't trained in geriatrics. They are often focused on more "serious" health issues. Also, since many laxatives are available over-the-counter, some providers may assume that people will treat themselves if necessary. Personally, I don't like this hands-off approach to constipation. Although several useful laxatives are indeed available over-the-counter (OTC), I've found that the average person doesn't know enough to correctly choose among them. Also, although in geriatrics we often do end up recommending or prescribing laxatives, it's vital to start by figuring out what is likely to be causing or worsening an older person's constipation. For instance, many medications can make constipation worse, so we usually make an attempt to identify and perhaps deprescribe those. In short, if you're an older adult, or if you're helping an older... Question: What is probably true about those with dementia and constipated? Answer:

OPTIONS:
- not enough information
- constipation is not too much an issue in their lives
- Constipation can complicate their days even further
- they can probably get good treatment if they cooperate

Answer: Constipation can complicate their days even further

Read the following context and answer the question. Context: That fall came and I went back to Michigan and the school year went by and summer came and I never really thought about it. I'm not even sure if I was officially asked, I just wound up heading back to New Jersey when school was out. I think my parents thought it was a good enough deal. They were already having some problems and without Nonna there anymore to take care of me I think my cousin's house on the coast seemed like as good a spot as any to stick me for the summer. It certainly wasn't because of any great love between me and my cousin. We weren't really very good friends at that point. I think she saw me as sort of foisted off on her and getting in the way of her summers. Which was a fair enough judgment. But she could have been nicer. It's pretty amazing that she wound up as my Maid of Honor. Time does strange things. Your lovable jack-ass of a father would mention something about magic in here. You know if you took a group of fifty strangers, had them chat with your father for half an hour then with me for half an hour, then told them that one of us was an English Professor and one of us was head of distribution in the northeast for a large soft drink manufacturing concern, I'm pretty sure all fifty would peg your father as the English Professor and me as the head of distribution. He's honestly so good at what he does that I can almost allow him to claim it's magic except that it'd be nice if he took credit for some of the things he's done with his life. Of course he has this idea that he deserves credit for all sorts of things that he had no control over. Like our first kiss. Question: Who is described as a jack-ass: Answer:
OPTIONS:
- father
- not enough information
- me
- cursed kiddies 2nd Coming

Answer:
father