The nurse teaches the client about measures to prevent constipation. What does the nurse teach the client? Select all that apply

Question

1. Do not take fiber supplements with juice or coffee.
2. Take diphenhydramine doses with a laxative.
3. Take psyllium-seed preparations with a full glass of water.
4. Calcium-carbonate should be taken separate from other medications.
5. Take any narcotic doses with a stool softener or laxative.

Answer 1

3. Take psyllium-seed preparations with a full glass of water.
4. Calcium-carbonate should be taken separate from other medications.

Explanation: 1. This medication should be taken with adequate water or other fluid. There is no information to suggest that fiber supplements cannot be taken with juice or coffee.
2. Diphenhydramine has an anticholinergic effect that can be offset with additional fluid intake, but a laxative is not likely to help.
3. At least one glass of water or other fluid is taken with psyllium so that it does not obstruct the esophagus or intestines.
4. No matter how calcium-carbonate is taken, it will cause constipation. Formulations are available that include magnesium, which offsets this side effect.
5. Clients do not ever become tolerant to constipation as a side effect of narcotics and must always take something to prevent constipation unless the client is otherwise able to maintain soft stools.