When starting a terminal client on an opioid for pain control, which action should be included in the plan of care?
A) Administer a daily laxative
B) Reduce fiber in the diet
C) Limit fluid intake
D) Administer a daily enema
A) Administer a daily laxative
Explanation: A) Patients who are taking opioid medications must also be provided with daily laxatives, and the dose of the laxative must be titrated upward when the dose of the opioid is increased.
B) Nonpharmacologic approaches for constipation are also included in the plan of care. Increased fluid intake and the addition of high-fiber foods are encouraged for patients who can tolerate them.
C) Nonpharmacologic approaches for constipation are also included in the plan of care. Increased fluid intake and the addition of high-fiber foods are encouraged for patients who can tolerate them.
D) Enemas are used only for patients who develop impaction.
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