Pat Wagner, 88 years old, has become increasingly weak and has been admitted to the long-term care facility. On admission, he is found to have a fecal impaction. Which of the following would not be part of his restorative care program?
a. Ambulate him to the bathroom after meals
b. Increase fluid intake to 1500 mL/day
c. Administer Fleet's enema every other day to ensure bowel evacuation
d. Increase dietary fiber
C
Enemas are used to promote bowel function only if the older adult does not have full control of the voluntary muscles used to evacuate the bowel. Stool softeners and suppositories are the laxative methods of choice because they promote normal bowel evacuation. Responses A, B, and D all are nursing interventions that promote bowel function. Ambulating Mr. Wagner to the bathroom is an excellent way to increase ambulation.
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