An older adult on bed rest reports no bowel movement for 4 d… | MyMerci
NCLEX-RNBCC
Question
An older adult on bed rest reports no bowel movement for 4 days. Which nursing intervention is most appropriate to help prevent constipation?
1Instruct the client to remain supine and use a bedpan without positioning upright, since mobility is limited
2Encourage complete bed rest to conserve energy.
3Increase fluids and fiber if not contraindicated and promote activity as tolerated.✓ Correct answer
4Administer an enema every morning without a prescription.
Explanation
Constipation prevention includes adequate fluids, fiber, mobility, and responding to the urge to defecate when safe and not contraindicated. Fluid restriction and immobility can worsen constipation. Enemas require appropriate indication and orders according to policy.
In-depth explanation
Clinical Judgment Basic care questions often ask for the least invasive prevention strategy first.
Memory Tip Fluids, fiber, movement.
Clinical scenario
Clinical Practice Guide Bowel care considers hydration, diet, mobility, medications, privacy, and usual bowel patterns.
Caution New severe abdominal pain, vomiting, or distention requires further assessment before routine laxative use.
Key concepts
Constipation — Infrequent or difficult passage of stool.
Fiber — Dietary material that supports stool bulk and bowel regularity.
Bowel Regimen — A planned approach to maintain or restore regular elimination.