The nurse is reinforcing teaching on a patient who reports constipation and straining and has a distended abdomen and intestinal rumbling. What should be included in the teaching? (Select all that apply.)
a. Set a time for defecation every day.
b. Drink water each morning and about 2 to 3 L throughout the day.
c. Sit on the toilet with feet planted firmly on the floor.
d. Increase intake of fiber, especially bran, in the diet.
e. Use enemas and rectal suppositories if constipation persists after 2 days.
f. Increase the intake of foods containing vitamin K.
ANS: A, B, D
A, B, and D are all correct. Placing feet on a footstool to promote flexion of the hips aids defecation. Enemas and rectal suppositories are used only in extreme cases and are discontinued when an acute episode is resolved.
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