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    Ati Nur 225 Med Surg Health Assessment Proctored Exam

    A nurse is planning discharge teaching for a postpartum client, Which of the following information should the nurse include for the client experiencing constipation?

    Explanation & Rationale

    Rationale: A. Laxatives are contraindicated for postpartum clients is incorrect because laxatives are not universally contraindicated in the postpartum period. While strong stimulant laxatives may be used cautiously, many postpartum clients, especially those recovering from vaginal tears, episiotomies, or cesarean births, are safely prescribed stool softeners such as docusate sodium. These help prevent straining, which could increase pain or disrupt healing. Therefore, stating that all laxatives are contraindicated is inaccurate. B. Stay hydrated throughout the day is correct because adequate hydration is one of the most effective and essential interventions for relieving constipation, especially in the postpartum period. Increased fluid intake softens stool, promotes bowel motility, and counteracts the dehydrating effects of labor, blood loss, and breastfeeding. Many postpartum clients experience slowed bowel function due to decreased abdominal muscle tone, analgesic use, fear of pain, and hormonal changes; hydration directly helps restore normal bowel movements. C. Daily enemas are needed to relieve constipation is incorrect because enemas are not recommended as a routine measure postpartum. Frequent enemas can irritate the rectal mucosa, cause electrolyte imbalance, and create dependency. They are reserved only for severe constipation and used only under provider supervision. Teaching a client to rely on daily enemas is inappropriate and potentially harmful. D. Avoid fiber-rich foods, as they can worsen constipation is incorrect because fiber plays a key role in promoting regular bowel movements. Fiber adds bulk to stool, stimulates peristalsis, and improves stool consistency. Postpartum clients are encouraged to consume whole grains, fruits, vegetables, and legumes to help restore normal bowel habits. Avoiding fiber would likely worsen constipation rather than alleviate it.

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