An older client with a history of constipation is prescribed an opioid analgesic for postoperative pain. What should the nurse include in this client's plan of care to avoid the pain management complication of constipation? Select all that apply.
1. Mix psyllium in 4 ounces of water.
2. Provide stool softeners as prescribed.
3. Monitor for adequate daily fluid intake.
4. Increase ingestion of fresh fruit each day.
5. Offer senna tea each evening before sleep.
2. Provide stool softeners as prescribed.
3. Monitor for adequate daily fluid intake.
4. Increase ingestion of fresh fruit each day.
5. Offer senna tea each evening before sleep.
Explanation: 1. A prophylactic bowel regimen must be initiated when opioid analgesics are utilized. Bulking agents such as psyllium should be avoided to prevent fecal impaction.
2. A prophylactic bowel regimen must be initiated when opioid analgesics are utilized. Stool softeners should be provided as prescribed.
3. A prophylactic bowel regimen must be initiated when opioid analgesics are utilized. The client should be encouraged to increase the oral fluid intake.
4. A prophylactic bowel regimen must be initiated when opioid analgesics are utilized. Fruits may also be helpful to prevent constipation.
5. A prophylactic bowel regimen must be initiated when opioid analgesics are utilized. Senna tea may also be helpful to prevent constipation.
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