A nurse is providing teaching to a client who has long-term symptoms of GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include in the educational materials?

Choice A Reason: Try to defecate at different times of the day

This statement is not advisable for clients with constipation. Regularity is key in managing constipation. Encouraging the client to try to defecate at the same time each day can help establish a routine and improve bowel regularity. The body’s natural circadian rhythms can aid in this process, making it easier to have a bowel movement at a consistent time.

Choice B Reason: Consume a low-fiber diet

A low-fiber diet is not recommended for clients with constipation. Fiber adds bulk to the stool and helps it pass more easily through the intestines. Foods high in fiber include fruits, vegetables, whole grains, and legumes. Increasing dietary fiber intake is a common and effective strategy for managing constipation. The recommended daily intake of fiber is 25 grams for women and 38 grams for men.

Choice C Reason: Reduce your daily activity

Reducing daily activity is not beneficial for managing constipation. Physical activity helps stimulate intestinal function and can promote regular bowel movements. Encouraging clients to engage in regular exercise, such as walking, swimming, or yoga, can help alleviate constipation. The American Heart Association recommends at least 150 minutes of moderate-intensity aerobic activity per week.

Choice D Reason: Increase your daily fluid intake

Increasing daily fluid intake is a key recommendation for managing constipation. Fluids help soften the stool, making it easier to pass. Water is the best choice, but other fluids like herbal teas and clear soups can also be beneficial. It is generally recommended to drink at least 8 cups (64 ounces) of water per day, though individual needs may vary based on factors such as age, sex, and activity level.

Choice A Reason:

The large intestine does not secrete enzymes to digest food. This function is primarily carried out by the stomach and small intestine. The large intestine’s main role is to absorb water and electrolytes from the remaining indigestible food matter.

Choice B Reason:

This is the correct answer. The large intestine absorbs water from the remaining indigestible food matter, which helps to form stool. This process is crucial for maintaining the body’s fluid balance and for the proper formation and excretion of feces.

Choice C Reason:

Preventing the reflux of food into the esophagus is a function of the lower esophageal sphincter, not the large intestine. The large intestine’s role is more focused on absorbing water and electrolytes and forming stool.

Choice D Reason:

The large intestine does not produce vitamin D. Vitamin D is primarily synthesized in the skin upon exposure to sunlight and can also be obtained from certain foods and supplements. The large intestine does, however, play a role in the absorption of some vitamins produced by gut bacteria, such as vitamin K.