The older female adult has mild hyponatremia and constipation. The nurse is unable to use which remedy for constipation for this woman?
a. Offer fresh fruit daily.
b. Encourage fluids by mouth.
c. Administer a stool softener.
d. Promote frequent ambulation.
B
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A Incorrect. The nurse can safely offer this woman fresh fruit to help provide die-tary fiber.
B Correct. Although this older adult is at high risk for constipation, the nurse is unable to encourage increased fluid intake because this woman is hyponatremic and mild hyponatremia is treated with a fluid restriction. A fluid restriction is likely to inhibit passage of stool through the colon and thus contribute to con-stipation.
C Incorrect. The nurse can administer a stool softener because the woman is at high risk for constipation owing to the fluid restriction. In addition, the older adult with hyponatremia can benefit from the sodium in a stool softener.
D Incorrect. The nurse can safely recommend ambulation as a stimulus for elimi-nation.
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