Constipation is a problem for many older adults. What intervention can a nurse educate the client about in order to prevent constipation? (Select all that apply)

Decreasing physical activity

Decreasing fluid intake

Nutritional diet high in fiber

Increasing fluid intake

Increasing daily activity

Answer and Explanation

Correct Answer : C,D,E

A. Decreasing physical activity: This is not a helpful intervention for preventing constipation. Physical activity, such as regular exercise, is beneficial for promoting bowel regularity.

B. Decreasing fluid intake: This is not a helpful intervention for preventing constipation. An adequate fluid intake is crucial for maintaining bowel regularity.

C. Nutritional diet high in fiber: This is a correct choice. Consuming a diet rich in fiber helps add bulk to the stool and promotes regular bowel movements, preventing constipation.

D. Increasing fluid intake: This is a correct choice. Staying well-hydrated is important for maintaining bowel regularity. Fluids help soften the stool and aid in its passage.

E. Increasing daily activity: This is a correct choice. Regular physical activity helps stimulate bowel movements and can contribute to preventing constipation.

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Correct Answer is A

Explanation

A. The importance of consuming adequate amounts of water

When instructing a patient who will take psyllium (Metamucil) to treat constipation, it is crucial to emphasize the importance of consuming adequate amounts of water. Psyllium is a bulk-forming laxative that works by absorbing water in the intestines, forming a gel-like mass that helps soften stools and promote bowel movements. Without sufficient water intake, psyllium may cause an obstruction or worsen constipation.

B. The need to monitor for systemic side effects.

Psyllium is generally well-tolerated and is not associated with significant systemic side effects. The primary consideration is ensuring proper hydration.

C. The onset of action of 30-60 minutes after administration.

Psyllium is not a fast-acting laxative. It usually takes a longer time to produce its effects, and patients should not expect an immediate response within 30-60 minutes.

D. The need to use the dry form of psyllium to prevent cramping.

Using the dry form of psyllium is not recommended, as it may increase the risk of choking or swallowing difficulties. It is typically recommended to mix psyllium with a sufficient amount of water or other liquids to prevent cramping and ensure proper absorption.

A. increases peristalsis to produce a bowel movement. B. is incompatible with alcohol consumption. C. should be avoided during pregnancy as it is teratogenic. D. may lead to paralytic ileus.

Correct Answer is A

Explanation

A. "Bisacodyl (Dulcolax) increases peristalsis to produce a bowel movement." - This is correct. Bisacodyl is a stimulant laxative that works by irritating the intestines, leading to increased peristalsis and bowel movements.

B. "Bisacodyl (Dulcolax) is incompatible with alcohol consumption." - There is no specific information suggesting incompatibility with alcohol. However, excessive alcohol consumption can contribute to constipation, and it's generally advisable to stay hydrated, which can be affected by alcohol intake.

C. "Bisacodyl (Dulcolax) should be avoided during pregnancy as it is teratogenic." - There is no strong evidence to suggest that bisacodyl is teratogenic. However, it is recommended to use laxatives cautiously during pregnancy and under the guidance of a healthcare provider.

D. "Bisacodyl (Dulcolax) may lead to paralytic ileus." - Paralytic ileus is not a common side effect of bisacodyl. However, it's important to use laxatives cautiously in individuals with a history of bowel obstruction or other gastrointestinal issues.

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Constipation is a problem for many older adults. What intervention can a nurse educate the client about in order to prevent constipation? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is instructing a patient who will take psyllium (Metamucil) to treat constipation. What information will the nurse include when teaching the patient?

Correct Answer is A

Explanation

Bisacodyl (Dulcolax) has been ordered for a patient who is constipated. The nurse realizes the drug:

Correct Answer is A

Explanation

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