The nurse is performing a colostomy irrigation on a male client. During the irrigation, the client begins to complain of abdominal cramps. What is the appropriate nursing action?
a. Notify the physician.
b. Stop the irrigation temporarily.
c. Increase the height of the irrigation.
d. Medicate for pain and resume the irrigation.
B
If cramping occurs during a colostomy irrigation, the irrigation flow is stopped 15 to 30 seconds and the client is asked to take deep breaths. Cramping may occur from an infusion that is too rapid or is causing too much pressure. The physician does not need to be notified. Increasing the height of the irrigation will cause further discomfort. Medicating the client for pain is not the appropriate action in this situation.
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