مريض بدأ أفيونات طويلة لألم السرطان. ما الإجراء الصحيح للإمساك؟

A client starts long-term opioids for cancer pain. What is the correct approach to constipation?

1. Rely on fibre alone without any other medicine
2. Wait until severe constipation develops, then begin treating it
3. A stimulant laxative plus stool softener from the start
4. Stop the opioids on the first day without a stool

Answer: C) A stimulant laxative plus stool softener from the start. Opioid constipation does not improve with tolerance, so regular laxatives (stimulant plus softener) start with therapy. Fibre alone may worsen bloating if fluids are low.