The nurse is instructing a client who has been prescribed bulk-forming laxatives. Which statement by the client indicates understanding of the use of laxatives?
1. "They work to increase the frequency and quality of bowel movements."
2. "They are indicated for the relief of bowel obstruction."
3. "I should use them when I have diarrhea caused by an infection."
4. "I can use them liberally whenever I don't have regular bowel movements."
Correct Answer: 1
Rationale 1: Laxatives work to increase the frequency and quality of bowel movements.
Rationale 2: Bulk-forming laxatives would not be helpful when a client has a bowel obstruction, and they could cause perforation of the bowel.
Rationale 3: Laxatives cause diarrhea and would be contraindicated when the client has diarrhea.
Rationale 4: It is important that laxatives be used only when necessary, as overdependence can be harmful.
Global Rationale: Laxatives work to increase the frequency and quality of bowel movements. Bulk-forming laxatives would not be helpful when a client has a bowel obstruction, and they could cause perforation of the bowel. Laxatives cause diarrhea and would be contraindicated when the client has diarrhea. It is important that laxatives be used only when necessary, as overdependence can be harmful.
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