Difficulty: Medium
Average Score: 84%
Simulated
The physician orders psyllium for constipation. Which client situation would require the nurse to question this order?
Correct answer
D
Rationale
The correct answer is D. Psyllium is a bulk-forming laxative that requires adequate swallowing ability and fluid intake to prevent esophageal obstruction. A client with recent stroke and difficulty swallowing is at risk for aspiration and choking with psyllium. Choice A is incorrect because psyllium can be given to clients on bedrest. Choice B is incorrect because pain medication does not interact negatively with psyllium. Choice C is incorrect as a clear liquid diet can be compatible with psyllium.