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    HEALTH ASSESSMENT PROCTORED EXAM
    Select All That Apply

    The nurse is caring for an aging adult who reports constipation. Which intervention may provide relief for the patient? Select all that apply.

    Explanation & Rationale

    A. Restrict fluid intake at night: Limiting fluids can lead to systemic dehydration and the formation of hard, dry stools that are difficult to evacuate. While it might reduce nocturia, it counteracts the goal of softening fecal matter for easier passage. Adequate hydration is essential for maintaining regular bowel motility in the elderly. B. Ensure easy access to the toilet: Functional mobility issues often lead to the suppression of the urge to defecate, contributing to chronic constipation. Providing a clear path or bedside commode encourages the patient to respond promptly to physiological signals. This behavioral intervention supports the maintenance of a regular and healthy elimination schedule. C. Eat raw fruits and vegetables: These food groups are high in insoluble fiber, which adds bulk to the stool and stimulates peristalsis. Fiber increases the speed of colonic transit and prevents the excessive absorption of water by the colon. Increasing dietary roughage is a primary non-pharmacological treatment for managing geriatric constipation. D. Increase physical activity: Regular movement stimulates the smooth muscles of the gastrointestinal tract, promoting the forward movement of intestinal contents. Sedentary behavior is a major contributing factor to bowel stasis in the aging population. Walking or light exercise helps maintain the mechanical efficiency of the digestive system.

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