Which of the following suggestions by the nurse would assist Mr.Adamson to maintain a normal fecal elimination pattern?

A) Drink two to four glasses of water daily
B) Include more spicy foods and sugar in the diet
C) Include more whole grains in the diet
D) Use enemas as necessary

Including more whole grains in the diet can increase fiber intake, promote regular bowel movements, and maintain a normal fecal elimination pattern. Drinking enough water is also important to prevent constipation. Spicy foods and sugar can actually have a negative impact on a person's digestive system and bowel movements. Using enemas as necessary should only be done under the guidance of a healthcare professional and is not a recommended regular solution for maintaining a normal fecal elimination pattern.