# An older adult on bed rest reports no bowel movement for 4 days. Which nursing intervention is most appropriate to help prevent constipation?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394064&lang=en  
> language: en  
> subject: Mobility/Immobility  
> category: BCC

## Question

An older adult on bed rest reports no bowel movement for 4 days. Which nursing intervention is most appropriate to help prevent constipation?

## Option

1. Restrict fluids to reduce urinary frequency.
2. Encourage complete bed rest to conserve energy.
3. Increase fluids and fiber if not contraindicated and promote activity as tolerated. **✔ Correct answer**
4. Administer an enema every morning without a prescription.

**Correct answer: 3**

## 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.

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