Question

An older adult client who is accustomed to taking enemas periodically to avoid constipation is admitted to a long-term care facility. In addition to medications, the healthcare provider prescribes bed rest and a regular diet. Which action should be implemented initially to help prevent the client from developing constipation?

1. Arrange to have enemas prescribed for the client
2. Obtain a prescription for a daily laxative for the client
3. Place a commode by the bedside to facilitate defecation

Answer 1

Explanation: It will be a better option if the client is given a large glass of prune juice with warm water every morning because when

Prune juice and warm water is administered by the nurse this will promote easy defecation. Prune juice will irritate the bowel mucosa, thereby stimulating peristalsis. Fiber in the diet increases fecal volume, which stimulates intestinal motility and the reflex for defecation. Enemas should not be considered because they can promote dependency and can result in electrolyte imbalance likewise the routine use of laxatives promotes dependency. The client is bedbound and is unable to use a commode.