What should a nurse do if a client reports mild cramping during the administration of a cleansing enema?

When a client reports mild cramping during the administration of a cleansing enema, slowing the rate of instillation is an appropriate nursing intervention. This approach allows the client's body to adjust to the fluid being introduced, which can help alleviate discomfort caused by rapid expansion of the bowel. Cramping can occur as a normal response to the introduction of fluid, but it can often be managed by reducing the speed at which the solution is instilled.

If the rate is increased, it may further exacerbate the cramping and discomfort, while stopping the enema altogether could prevent the client from receiving the intended benefits of the cleansing procedure. Changing the type of solution could also be unnecessary, especially when cramping could simply be due to the rate of flow rather than the specific solution itself. Thus, slowing the rate effectively addresses the immediate issue and promotes comfort for the client while still facilitating the cleansing process.