A patient taking oxycodone with acetaminophen (Percocet) for pain at home 3 days after fracturing an ankle reports constipation and continuing moderate to severe pain. What is the nurse's best advice?
a. "Either increase the time between drug doses or take only half the dose at each scheduled time."
b. "Stop taking the Percocet and switch to acetaminophen alone."
c. "Wrap your foot tightly and walk for at least 30 minutes daily."
d. "Drink at least 3 liters of fluid daily and increase fiber intake."
D
This patient still needs the Percocet. Most patients taking opioids for 2 days or longer have con-stipation. Urge the patient to drink plenty of fluids. Increasing fiber intake, either with food con-taining fiber or with over-the-counter fiber supplements, can help reduce constipation. Although increasing activity can help reduce constipation, walking for 30 minutes with a fractured ankle is not permitted at this time.
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