Practice Question
A patient who takes several antidepressants and cetirizine (Zyrtek) complains to the nurse about experiencing hemorrhoids as a result of chronic constipation. Which instruction should the nurse include in patient teaching for initial therapy?
Answer Choices:
Correct Answer:
Drink 2 L/day of fluid
Rationale:
🔹 The first-line management for constipation, especially when related to medications like antidepressants and antihistamines, is lifestyle modification rather than immediate pharmacologic therapy.
🔹 Increasing fluid intake (around 2 liters/day) helps soften stool, making bowel movements easier and reducing straining that worsens hemorrhoids.
🔹 Alongside hydration, nurses also recommend increasing dietary fiber and physical activity, which naturally promote bowel regularity.
🔹 Laxatives such as senna, glycerin, or lactulose are considered second-line measures if conservative therapy is ineffective.
🔹 Starting with fluids addresses the underlying constipation safely and helps prevent dependence on stimulant or osmotic laxatives.
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This question is from ☑️Rn Pharmacology which contains 77 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pharmacology
- Answer Choices: 4