A patient is prescribed a cleansing enema and develops severe cramping while the solution is being instilled. What should the nurse do first?
Correct answer: B. Stop or slow the flow and assess the patient
- A. Increase the flow rate to complete the procedure
- B. Stop or slow the flow and assess the patient
- C. Continue the procedure without speaking to the patient
- D. Add more solution to overcome the cramping
Explanation
Severe cramping may result from rapid instillation or excessive bowel stimulation. The nurse should stop or slow the flow, assess the patient, and resume only if appropriate and prescribed.
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About Elimination and Catheterisation
Elimination care covers normal bowel and urinary patterns, constipation, diarrhoea, incontinence, retention, enemas, ostomies and specimen collection. Catheterisation includes indications, catheter types, insertion principles, drainage-bag care and prevention of urinary infection, with attention to the difference between urinary retention and incontinence.
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