# A client starting opioid therapy asks how to prevent constipation. Which teaching should the nurse include?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397357&lang=en  
> language: en  
> subject: Elimination  
> category: BCC

## Question

A client starting opioid therapy asks how to prevent constipation. Which teaching should the nurse include?

## Option

1. Limit fluids so the stool becomes smaller.
2. Avoid walking because activity increases abdominal pain.
3. Use the prescribed bowel regimen and increase fluids, fiber, and activity as tolerated. **✔ Correct answer**
4. Wait until no bowel movement occurs for 2 weeks before reporting it.

**Correct answer: 3**

## Explanation

Opioids commonly slow bowel motility, so prevention includes a prescribed bowel regimen plus fluids, fiber, and activity as tolerated. Fluid restriction, inactivity, and delayed reporting increase constipation risk and may lead to complications.

## In-depth explanation

Clinical Judgment
Use the client cues, timing, labs, and safety risks to select the response that best fits Opioid constipation prevention.

Memory Tip
Match the strongest cue cluster to the safest nursing judgment.

KR vs US
NCLEX items reward cue-based priority thinking rather than isolated recall.

## Clinical scenario

Clinical Practice Guide
For Opioid constipation prevention, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **Opioid Constipation** — Reduced bowel motility caused by opioid medications.
- **Bowel Regimen** — A planned set of medications or habits to prevent or treat constipation.
- **Ambulation** — Walking or moving as tolerated to support circulation and bowel function.

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