The nurse would question a bisacodyl order for which client health problems?
Explanation & Rationale
A. Hypertension: Bisacodyl has no direct effects on blood pressure or fluid retention. It is generally safe for use in clients with hypertension, provided fluid balance is monitored, especially in the elderly. B. Pain from recent surgery and is prescribed opioids: Opioids often lead to constipation, and bisacodyl may be appropriately prescribed to relieve opioid-induced constipation. Its stimulant laxative effect is useful in this context. C. Abdominal pain of unknown origin: Bisacodyl stimulates intestinal peristalsis, which can worsen conditions like appendicitis, bowel obstruction, or perforation. It should not be given until the cause of abdominal pain is clearly identified. D. Colostomy of the lower descending colon: Clients with colostomies may still experience constipation and benefit from laxatives like bisacodyl. Use should be based on individual assessment but is not automatically contraindicated.