A Primary Care NP Sees a Patient Who Reports Having

A primary care NP sees a patient who reports having decreased frequency of stools over the past few months.In the clinic today,the patient has severe abdominal cramping and an abdominal radiograph shows an increased stool load in the sigmoid colon and rectum.The NP should:

A) give magnesium hydroxide (Milk of Magnesia) .
B) start daily methylcellulose (Citrucel) and increased fluids.
C) order a sodium phosphate enema and psyllium (Metamucil) .
D) recommend polyethylene glycol (MiraLAX) and 2000 mL of fluid daily.

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