The nurse is teaching the family with a child with cerebral palsy (CP) strategies to prevent constipation. What should the nurse include in the teaching session? (Select all that apply.)
a. Increase fluid intake.
b. Increase fiber in the diet.
c. Administer stool softeners daily as prescribed.
d. Increase the amount of dairy products in the diet.
e. Allow the child to decide when to try to have a bowel movement.
ANS: A, B, C
A variety of factors, including decreased mobility, decreased fluid intake, a fear of toileting, poor positioning on the toilet, and lack of fiber intake may be responsible for constipation for a child with CP. Stool softeners, laxatives, and a bowel management program may be required to prevent chronic constipation. The child should be placed on the toilet or encouraged to have a bowel movement at the same time each day. Dairy products can cause constipation
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