An older adult client tells you that she has been using a saline enema every day for a week to help her move her bowels. She asks the nurse if she knows of other methods to help with normal bowel function. What would be an alternative to daily enemas for maintenance of normal bowel function?
a. Increasing fluids and eating a high-fiber diet or using bulk laxatives (e.g., psyllium) may be a safer alternative.
b. Decreasing fluids may help by lessening the pressure in the intestines.
c. Decreasing high-fiber foods may help relax the colon.
d. An increase in refined food products and avoidance of green leafy vegetables may be a safer alternative.
ANSWER: a
a. Increasing fluids and eating a high-fiber diet or using bulk laxatives (e.g., psyllium) may be a safer alternative.
FEEDBACK:
a. Strong cathartics should be avoided as they may lead to laxative dependence and loss of normal bowel function. Increasing fluids and eating a high-fiber diet or use of bulk laxatives (e.g., psyllium) may be a safer alternative.
b. Increasing fluids may help maintain normal bowel function. .
c. Increasing high-fiber foods may help maintain normal bowel function. .
d. A decrease in refined food products and increase of green leafy vegetables may be a safer alternative. .
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