Question

a nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. which of the following instructions should the nurse include? (select all that apply.)

• expect results in 6 to 12 hr.
• urinate every 4 hr.
• take the medication with at least 8 oz (237 ml) of fluid.
• avoid activities that require alertness.
• increase fluid and fiber intake.

Explanation:

• Psyllium is a bulk-forming laxative; it works by absorbing water to form a stool mass, so taking it with at least 8 oz (237 mL) of fluid prevents esophageal or intestinal blockage.
• Increasing overall fluid and fiber intake supports the laxative's effect and helps prevent long-term constipation.
• Psyllium typically takes 12-72 hours to work, so expecting results in 6-12 hr is incorrect.
• Urinating every 4 hr is unrelated to psyllium use, and psyllium does not cause drowsiness, so avoiding alertness-required activities is unnecessary.

Answer:

C. Take the medication with at least 8 oz (237 mL) of fluid.
E. Increase fluid and fiber intake.