The client with recurrent constipation has been prescribed psyllium (Metamucil). Teaching provided by the nurse should include which of the following instructions?
1. Mix the psyllium powder with any cold beverage.
2. Mix the psyllium powder with 4 oz of a hot beverage.
3. Mix the psyllium powder with gelatin, applesauce, or pudding.
4. Mix the psyllium powder with 8 oz of water or juice followed by drinking an additional 8 oz of liquid.
4
Rationale: Metamucil is a bulk-forming laxative. It should be mixed with 8 oz of water or juice, followed by drinking another 8 oz of liquid. This will help prevent impaction of the medication in the stomach or small intestine. The other options are incorrect methods of administration.
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