What should a nurse do if a client reports mild cramping during a cleanse enema?

When a client reports mild cramping during a cleanse enema, slowing the rate of instillation is the appropriate action to take. This is because cramping can occur due to the volume or speed at which the solution is being introduced into the bowels. By slowing the rate, the nurse allows the client’s body to better tolerate the procedure and can help alleviate discomfort.

It’s essential to maintain a balance between effective cleansing and the client's comfort. Slowing the instillation gives the intestinal walls more time to adjust to the fluid being introduced, which can reduce cramping and enhance the overall comfort of the procedure.

If the nurse were to stop the procedure immediately, it could lead to incomplete evacuation, which is contrary to the purpose of the enema. Increasing the solution temperature without addressing the cramping could potentially cause more discomfort or distress to the client. Adding more saline to the solution is not advisable, as it could increase the volume introduced and heighten cramping instead of alleviating it. Overall, slowing the instillation rate is a safe and effective response to mild cramping during a cleanse enema.