After an assessment, the nurse determines that the diagnosis of constipation is appropriate for an older client recovering from surgery. What would be a goal for this nursing diagnosis?
1. Decrease the frequency of narcotic pain medication administration.
2. Explain the importance of hydration and activity in regard to constipation.
3. Drink at least 800 ml of non-caffeinated and nonalcoholic beverages each day.
4. Evacuate a formed bowel movement at least every 2 days with minimal distress.
4. Evacuate a formed bowel movement at least every 2 days with minimal distress.
Explanation: 1. Pain control would be addressed under a separate nursing diagnosis, even though constipation may be improved by decreasing the pain medication, a better intervention is to administer laxatives or enemas if needed.
2. The importance of hydration and activity in regards to constipation is good for the client to understand and explain, but a postoperative client does not have complete control over intake and activity. This also does not help the client reach the goal of having a bowel movement.
3. Oral fluid is often limited after surgery. Additionally, 800 ml is an insufficient amount of daily fluid intake.
4. The goal should be linked to the nursing diagnosis—be measurable, realistic, and achievable—and include a time frame for attainment. The type and frequency of bowel movement is directly connected to the nursing diagnosis. This is an appropriate goal for the nursing diagnosis of constipation.
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