A client who has recently been prescribed Sucralfate makes which statement that indicates they need more education about their medication?

Choice A rationale
A client with a hip fracture and is on bedrest for 4 weeks may indeed experience constipation due to decreased physical activity. However, this situation would not necessarily require the nurse to question the order for psyllium. Psyllium is a bulk-forming laxative that can help relieve constipation by increasing stool bulk and improving bowel regularity.
Choice B rationale
Morphine is an opioid medication that can cause constipation as a side effect. Therefore, a client who is experiencing severe pain and is prescribed morphine may benefit from a laxative like psyllium to help manage opioid-induced constipation. This situation would not necessarily require the nurse to question the order for psyllium.
Choice C rationale
A client who is post-operative and is on a clear liquid diet may experience constipation due to the low fiber content of the diet. However, this situation would not necessarily require the nurse to question the order for psyllium. Once the client progresses to a regular diet, psyllium can help add bulk to the stool and promote regular bowel movements.
Choice D rationale
This choice is correct. A client with a recent stroke who has difficulty swallowing may be at risk for aspiration, or the inhalation of food or liquid into the lungs, when taking psyllium. Psyllium is a bulk-forming laxative that absorbs water in the intestines to form a softer, bulkier stool. If a client with swallowing difficulties were to aspirate the psyllium, it could potentially expand in the lungs when it comes into contact with moisture, leading to serious complications. Therefore, the nurse should question the order for psyllium in this situation.

Choice A rationale
Diverticulosis is a condition where small pouches, called diverticula, form in the wall of the colon. While it can cause discomfort and complications, it is not a contraindication for laxative use. Laxatives can actually help prevent constipation, which can exacerbate diverticulosis.
Choice B rationale
High ammonia levels due to liver failure can cause serious health problems, including hepatic encephalopathy, a decline in brain function. However, it is not directly related to the use of laxatives. Laxatives work primarily in the colon, not the liver.
Choice C rationale
Abdominal pain of unknown origin could be a sign of a serious condition, such as an intestinal obstruction or appendicitis. Using a laxative could worsen these conditions. Therefore, it’s important to identify the cause of the abdominal pain before using a laxative.
Choice D rationale
Chronic constipation is often treated with laxatives. They work by softening the stool or stimulating the bowel to pass stool. Therefore, chronic constipation is not a contraindication for laxative use.