A nurse is caring for a client who has chronic constipation. Which of the following actions should the nurse recommend to the client?

Choice A Reason:

Consuming probiotic sources is recommendable. Probiotics are beneficial bacteria that can promote gut health. Including probiotic sources in the diet, such as yogurt with live cultures or other fermented foods, can help maintain a healthy balance of gut bacteria and alleviate constipation.

Choice B Reason:

Using a laxative every day is not recommendable. Regular use of laxatives is generally not recommended for chronic constipation, as it can lead to dependence and may not address the underlying causes.

Choice C Reason:

Baking with white flour is not recommendable. Consuming refined white flour may not contribute significantly to relieving constipation. Whole grains, high-fiber foods, and adequate fluid intake are more beneficial.

Choice D Reason:

Taking a calcium supplement is not recommendable. While calcium is important for overall health, taking a calcium supplement is not typically recommended as the primary intervention for chronic constipation. Dietary and lifestyle measures, such as increasing fiber intake and staying hydrated, are more commonly recommended.

Choice A Reason:

Pressing on the skin barrier for about 30 seconds ensures that it adheres properly to the skin, which helps secure the ostomy appliance and prevents leakage.

Choice B Reason:
Moisturizing soap is not recommended for cleaning around the stoma, as it can leave a residue that interferes with the appliance's adhesion. Mild soap without moisturizers or just water should be used.

Choice C Reason:
Applying talc powder around the stoma can prevent the appliance from adhering properly, leading to leakage. It is not recommended for ostomy care.

Choice D Reason:
The skin barrier should be cut to fit closely around the stoma, leaving no more than a 1/8 inch gap, not 1/2 inch. A larger opening may cause skin irritation or leakage.