The patient has increased his fluid and dietary fiber intake,and has started a supervised exercise program.However,he is still having problems with constipation.Which of the following would be an effective intervention? (Select all that apply.)

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Quizplus · Accepted Answer

Use the following stepwise levels of interventions.Bulk-forming laxatives (e.g.,psyllium [Metamucil],methylcellulose [Citrucel])are safe,add bulk to the fecal material,and are used in combination with a saline laxative (e.g.,magnesium hydroxide [milk of magnesia])or an osmotic laxative (e.g.,lactulose [Chronulac]).The patient should increase water intake to enhance the effectiveness of bulk-forming laxatives.If constipation continues,stimulant laxatives (e.g.,bisacodyl [Dulcolax],senna [Senokot])usually provide relief.Avoid emollient laxatives,such as mineral oil,because they are associated with lipoid aspiration pneumonia.

The Patient Has Increased His Fluid and Dietary Fiber Intake,and