A patient has been taking psyllium [Metamucil] two to three times daily for several days. The patient complains of stomach pain but has not had a stool. What will the nurse do?
A) Ask the patient to drink a full glass of water.
B) Give another dose of the psyllium.
C) Request an order for a bisacodyl [Dulcolax] suppository.
D) Palpate the patient's abdomen and auscultate for bowel sounds.

Question

Quizplus · Accepted Answer

Psyllium is a bulk-forming laxative and can cause a fecal impaction or obstruction. Abdominal pain can be a sign of impaction or obstruction, so the nurse should assess the patient for this complication. Giving fluids by mouth, administering more laxative, or giving a suppository are all contraindicated if an obstruction has developed and should not be done until this condition is ruled out.

A Patient Has Been Taking Psyllium [Metamucil] Two to Three