Medical Surgical Constipation #1

Question

The nurse provides teaching to a client who is experiencing constipation. Which client statement indicates to the nurse a need for additional teaching?

Answers

  1. “I will increase my daily physical activity.”
    • Rationale:

      This answer is not correct because the client statement indicates a correct understanding of the teaching provided by the nurse regarding methods to alleviate constipation as increased activity is supported by evidence-based practice guidelines.

  2. “I will decrease my daily intake of water.”
    • Rationale:

      This answer is correct because one goal of nursing care for the client who is experiencing constipation is to ensure adequate intake of fluids; therefore, this statement indicates a need for additional teaching.

  3. “I will increase my daily use of stimulant laxatives.”
    • Rationale:

      This answer is not correct because the nurse teaches the client who experiences constipation to avoid long-term or overuse of stimulant laxatives; therefore, this statement indicates a correct client understanding of evidence-based methods to alleviate constipation.

  4. “I will increase my daily intake of fresh fruits and vegetables.”
    • Rationale:

      This answer is not correct because increasing intake of foods rich in fiber, including fresh fruits and vegetables, indicates a correct understanding of evidence-based practice guideline methods to alleviate constipation. The client needs more fruits and vegetables for increased fiber in the diet.

Overview

Constipation is formally defined as fewer than three bowel movements (BMs) weekly or BMs that are dry, difficult to pass, hard, or small.

Explanation

Learning Outcomes

Providing education is an important nursing function in the provision of client care. After collecting the client’s health history, the nurse sets specific goals for education. Goals for the client include ensuring adequate intake of fluids and high-fiber foods, teaching about methods to avoid constipation, relieving anxiety about bowel elimination patterns, restoring or maintaining a regular pattern of elimination by responding to the urge to defecate, and avoiding complications. The client statement that indicates a need to provide additional teaching would be, “I will decrease my daily intake of water.”

Test Taking Tip

Consider each client statement as true or false regarding constipation. The statement that is false is the correct choice for this clinical scenario.

Video Rationale