Which interventions would you choose and why


Problem

Justin Jones was admitted after a motorcycle accident. He had surgery for fracture reduction on his legs and now has casts on both legs and one arm. For the past three days, he has been receiving narcotic analgesics for severe pain.

Today, he has a new nursing diagnosis: constipation related to immobility and decreased gastrointestinal (GI) motility secondary to narcotic analgesics. The nurse enters the diagnosis into an electronic care plan. In addition to a list of suggested assessments, the computer database generates the following list of suggested interventions:

1) Institute a program to establish a regular pattern of bowel movements
2) Administer laxative or stool softener, as prescribed
3) Administer enema
4) Remove stool manually
5) Encourage increased fluid intake, including warm liquids; instruct on and encourage a high-fiber diet
6) Encourage a regular program of activity and exercise
7) Perform manual reduction of rectal prolapse

Prompts:

As a nurse, which interventions would you choose and why? PARAGRAPH FORM

Identify one resource to support your answer. Be sure to cite your resource using APA (7th ed.) format.

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