A client has been taking an opioid for pain relief following abdominal surgery. The client complains of constipation. Which statements indicate understanding by the client? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. "I should only take a laxative when necessary."
2. "I should increase fluid intake."
3. "I should strain when I try to have a bowel movement."
4. "I should increase fiber intake."
5. "I should decrease my physical activity."
Correct Answer: 1, 2, 4
Rationale 1: The client should use a laxative, and dietary adjustments and increased physical activity should be considered before drugs are used to treat constipation.
Rationale 2: The client should use a laxative, and dietary adjustments and increased physical activity should be considered before drugs are used to treat constipation.
Rationale 3: "I should strain when I try to have a bowel movement" is incorrect because this should be avoided by the client following abdominal surgery.
Rationale 4: The client should use a laxative, and dietary adjustments and increased physical activity should be considered before drugs are used to treat constipation.
Rationale 5: "I should decrease my physical activity" is incorrect because the client should be encouraged to increase physical activity.
Global Rationale: The client should use a laxative, and dietary adjustments and increased physical activity should be considered before drugs are used to treat constipation. "I should strain when I try to have a bowel movement" is incorrect because this should be avoided by the client following abdominal surgery. "I should decrease my physical activity" is incorrect because the client should be encouraged to increase physical activity.
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