Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

Which of the following is NOT a primary factor in establishing a bowel program?

1. Maintaining appropriate levels of hydration

2. Establishing a consistent emptying time

3. Regular and frequent schedule of cathartic stimulants

4. Diet high in bulk and fiber

The correct answer is: Regular and frequent schedule of cathartic stimulants

The concept of a bowel program is pivotal for individuals who may be experiencing bowel dysfunction, particularly in a rehabilitation setting. Among the options provided, a regular and frequent schedule of cathartic stimulants is not considered a primary factor in establishing an effective bowel program. A bowel program is generally designed around natural physiological processes. Maintaining appropriate levels of hydration is crucial because adequate fluid intake helps to soften stool and supports normal bowel function. Establishing a consistent emptying time creates routine, allowing the body to anticipate bowel movements, which can aid in regularity and prevent constipation. A diet high in bulk and fiber is also fundamental, as it adds volume to the stool, facilitating regular bowel movements. In contrast, while cathartic stimulants can be used as part of managing bowel regimens, relying on them regularly can lead to dependency and may not address the underlying issues of bowel function. Therefore, they are not a foundational factor in building a healthy and sustainable bowel program.