A patient who has cerebral palsy is wheelchair dependent and receives enteral nutrition via a gastrostomy tube.The patient has infrequent,hard bowel movements despite using a high-fiber formula and receiving 1500 mL of fluid per day.The NP should order:

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Fluids,fiber,and exercise,which help most people,are not applicable to people who are wheelchair bound.Other individuals with congestive heart failure are unable to tolerate these mechanisms.Osmotic laxatives,such as polyethylene glycol are used to manage long-term constipation.It is essential for clinicians to know their patients and assess what is reasonable for them to do.

A Patient Who Has Cerebral Palsy Is Wheelchair Dependent and Receives