a 55-year-old client presents to the health care clinic with reports of decreased bowel movements with the passing of hard, dry stool for the past 2 weeks. the client states that he has noticed a small amount of bleeding from the rectum and on the stool. he states he has had trouble with his bowels all his adult life. he admits to drinking a lot of coffee and works in a high-stress job. the nurse observes a large external hemorrhoid upon examination of the anus. which nursing diagnoses can be confirmed with this data? select all that apply.