The nurse reinforces teaching provided to a patient with constipation and straining who is experiencing abdominal distention and intestinal rumbling. What should be included in the teaching? (Select all that apply.)
a. Set a time for defecation every day.
b. Increase the intake of foods containing vitamin K.
c. Increase intake of fiber, especially bran, in the diet.
d. Sit on the toilet with feet planted firmly on the floor.
e. Drink water each morning and about 2 to 3 L throughout the day.
f. Use enemas and rectal suppositories if constipation persists after 2 days.
ANS: A, C, E
The patient should be encouraged to establish a time for defecation each day. The patient should increase the intake of fiber and drink water in the morning and throughout the day. D. Placing feet on a footstool to promote flexion of the hips aids defecation. F. Enemas and rectal suppositories are used only in extreme cases and are discontinued when an acute episode is resolved. B. Vitamin K does not help with constipation.
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