Question

A nurse is reinforcing teaching with an older adult client who is healthy and has chronic constipation about establishing a bowel retraining program. Which of the following statements should the nurse include in the teaching?

a) "You should ignore the urge to have a bowel movement."
b) "It's normal to have a bowel movement once a week."
c) "Try to establish a regular schedule for bowel movements."
d) "Avoid drinking water to reduce the frequency of bowel movements."

Answer 1

The nurse should advise the older adult with chronic constipation to establish a regular schedule for bowel movements and stress the importance of not ignoring the urge to defecate, staying hydrated, and maintaining a diet with adequate fiber.

Step-by-step explanation:

When teaching an older adult client with chronic constipation about establishing a bowel retraining program, the nurse should include in the teaching that the client should "Try to establish a regular schedule for bowel movements." This advice is crucial as consistency can help to regulate the digestive system. Additionally, clients should not ignore the urge to have a bowel movement as this can lead to increased water reabsorption and harder stools, exacerbating constipation. Furthermore, it is a misconception that it is normal to have a bowel movement only once a week; the frequency can vary but maintaining regularity is beneficial. Lastly, it is not advisable to avoid drinking water; proper hydration is actually essential in preventing constipation and facilitating bowel movements. Clients should be encouraged to consume adequate fiber and water to promote stool softness and regularity.