What should a nurse teach a client with chronic pain to avoid constipation from opioid medications?

For a client experiencing chronic pain who is using opioid medications, it is crucial to address the common side effect of constipation. Drinking an adequate amount of fluids is essential for maintaining good bowel function. The recommendation to drink 1.5 liters of fluids each day is correct as it helps to soften stool and promote regular bowel movements. Adequate hydration counteracts the dehydrating effects of opioids, which tend to slow bowel motility and can contribute to constipation.

In contrast, while exercise and increasing fiber intake are also important aspects of managing constipation, they must be complemented by sufficient fluid intake for optimal effectiveness. Limiting fluid intake would exacerbate constipation, which demonstrates the importance of hydration in the management plan for patients on opioids. Therefore, ensuring the client drinks an adequate volume of fluids is vital in preventing constipation associated with opioid use.