A nurse provides education to a patient after a hemorrhoidectomy. Which statement by the patient demonstrates the need for further instruction?

A. Geriatric patient: Laxative use is not contraindicated in geriatric patients, but it should be used cautiously due to the risk of dehydration and electrolyte imbalances.

B. Patient with quadriplegia: Laxatives can be used for constipation in quadriplegic patients; however, they should be used carefully under medical supervision.

C. Patient with appendicitis: Laxative use is contraindicated in patients with appendicitis because it can increase the risk of perforation by stimulating bowel motility, which could lead to rupture and peritonitis.

D. Patient with fractured femur: Laxative use is not contraindicated in patients with a fractured femur. However, care should be taken to avoid dehydration and use appropriate methods for managing constipation.

A. Lie on the right side after meals: This position is not effective in reducing regurgitation. Lying on the left side or maintaining an upright position after eating is generally better for avoiding reflux.

B. Eat only small meals: Smaller meals reduce the risk of overfilling the stomach, which helps minimize regurgitation and pressure on the esophageal stent.

C. Keep the bed flat: Keeping the bed flat increases the risk of regurgitation by allowing stomach contents to flow backward into the esophagus.

D. Drink three glasses of fluid with each meal: Excessive fluid during meals may increase stomach volume and the risk of regurgitation.