During the enema instillation, the client experiences cramping. ...

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During the enema instillation, the client experiences cramping. The nurse should:
 
  A. Discontinue the procedure
  B. Increase the height of the solution
  C. Slow the rate of the infusion
  D. Have the client roll into a supine position

Question 2

A client has been diagnosed with terminal cancer of the liver and is receiving chemotherapy on a medical unit.
 
  In an in-depth conversation with the nurse, the client states, I wonder why this happened to me? According to Kbler-Ross, the nurse identifies that this stage is associated with: A. Anxiety
  B. Denial
  C. Confrontation
  D. Depression

[mmpiza]

Answer to Question 1

C
C and A. If abdominal cramping or pain develops, slow the infusion.
B. Lower container or clamp tubing if client complains of cramping or if fluid escapes around rectal tube.
D. An enema is given in the Sims' position.

Answer to Question 2

B
B. According to Kbler-Ross, the client is in the denial stage of dying. The client may act as though nothing has happened, may refuse to believe or understand that a loss has occurred, and may seem stunned, as though it is unreal or difficult to believe.
A. No stage of anxiety is found in Kbler-Ross's five stages of dying.
C. No stage of confrontation is found in Kbler-Ross's five stages of dying.
D. During depression, the individual may feel overwhelmingly lonely and withdraw from interpersonal interaction.

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