Which of the following statements by a client reporting constipation reflects the most informed understanding of interventions that will aid in assuming proper bowel mobility?
1. "Could it be that I need to get more exercise, even here in the hospital?"
2. "Is it true that drinking coffee often helps stimulate the bowels to work?"
3. "I guess a little high-fiber cereal might help. Can you get me some from the cafe-teria?"
4. "May I have a cup of decaffeinated tea in addition to my breakfast juice? That usually helps."
ANS: 4
Unless there is a medical contraindication, an adult needs to drink six to eight glasses (1500 to 2000 mL) of noncaffeinated fluid daily. An increase in fluid intake with the use of fruit juices softens stool and increases peristalsis. Poor fluid intake increases the risk for constipation because of reabsorption of fluid in the colon, resulting in hard, dry stools. Although the other options are not incorrect, the client does not seem to have past experience with these suggestions.
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