A nurse is caring for a client who has angina and reports a feeling of heaviness in the chest while ambulating in the hall. Which of the following actions should the nurse take first?

Rationale:
A. Decrease insoluble fiber intake: Decreasing fiber intake worsens constipation, especially in clients taking opioids. Instead, a diet rich in fiber from fruits, vegetables, and whole grains helps promote regular bowel movements and reduces the risk of opioid-induced constipation.

B. Increase exercise activity: Physical activity stimulates intestinal motility, helping prevent constipation. Encouraging the client to engage in regular, safe exercise supports bowel function and complements dietary and hydration strategies to manage opioid-related constipation.

C. Drink 1.5 L of fluids each day: Adequate fluid intake is important for softening stool, but 1.5 L may be insufficient for some clients. Fluid recommendations are typically individualized, and increasing activity has a more direct effect on bowel motility when combined with adequate hydration.

D. Take mineral oil at bedtime: Routine use of mineral oil is generally not recommended because it can interfere with the absorption of fat-soluble vitamins and may cause aspiration if taken orally. Safer alternatives include stool softeners or osmotic laxatives under provider guidance.

Rationale:
A. Elevate the client's scrotum on a pillow: After hernia repair, scrotal elevation helps reduce swelling and promote venous return, minimizing postoperative edema and discomfort. Supporting the scrotum with a pillow or rolled towel also decreases tension on the incision site, enhancing comfort and healing.

B. Restrict fluids to 1,200 mL per day: Fluid restriction is not indicated for clients following hernia repair unless there is a concurrent condition such as renal or cardiac impairment. Adequate hydration is essential to prevent constipation and promote tissue recovery after surgery.

C. Place a warm pack on the incisional area: Warm packs should be avoided immediately after surgery because they can increase local blood flow and risk of bleeding at the incision site. Cold packs may be used instead to reduce swelling and provide comfort.

D. Encourage the client to sit to void: Male clients are encouraged to stand when voiding to reduce intra-abdominal pressure on the surgical site. Sitting to void may increase pressure on the repaired area, potentially causing discomfort or strain on the incision.