Which is the laxative of choice for an older patient who is in the end stage of Alzheimer's disease and requires a daily laxative?
a. Emollient
b. Stimulant
c. Fecal softener
d. Bulk forming
ANS: D
Bulk-forming laxatives are considered the safest laxative for routine use because they cause water to be retained within the stool, which increases bulk, and stimulates peristalsis. Emollient laxatives reduce muscle tone and decrease peristalsis over time. Stimulant laxatives can cause cramping and should not be used on a regular basis. Fecal softeners are not laxatives.
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