The female nurse is administering an enema to a 23-year-old male client with a questionable gastrointestinal blockage. The nurse plans care based on which anticipated reaction by the client?
1. "I am afraid of having an enema.".
2. "I have never had an enema before.".
3. "I would rather have the doctor do this.".
4. "May I have a visitor as support in the room?"
3. "I would rather have the doctor do this.".
Rationale:
The nurse would anticipate that most young adults will be embarrassed by this procedure when the nurse and young client are of different genders. When the client states that the doctor could perform the enema, the client is probably acting on embarrassment and on the assumption that the doctor is male. The nurse should approach the client beforehand to address the issue. Most clients would only experience annoyance, not fear for this procedure. A client who has never experienced an enema is exhibiting a lack of knowledge, which is not usually the case for a 23-year-old; most people of that age have had experienced an enema. The nurse would definitely not expect the client to request the presence of another person in the room for an intimate procedure.
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