A nurse implements a nursing care plan for a patient with constipation. Which of the following should the nurse include in the plan?
a. Increasing fiber in the diet
b. Administering aluminum hydroxide ant-acids
c. Bed rest
d. Restricting fluids
ANS: A
Fluid intake of at least 1.5 L/day, unless contraindicated, is the cornerstone of constipation ther-apy, with fluids coming mainly from water. A gradual increase in fiber, either as supplements or incorporated into the diet, is generally recommended. Fiber helps stools become bulkier and soft-er and move through the body more quickly. Physical activity is important as an intervention to stimulate colon motility and bowel evacuation. Daily walking for 20-30 minutes, if tolerated, is helpful, especially after a meal. Aluminum hydroxide antacids are known to be constipating.
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