A nurse is preparing to administer dextrose 5% in water (DSW) 1,200 ml. IV to infuse over 24 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

When the client experiences cramping during the enema administration, it indicates that the colon is becoming distended. By allowing the client to expel some of the fluid, the pressure in the colon is reduced, which can help alleviate the discomfort and cramping. The nurse should pause the administration of the enema and allow the client to release some fluid before continuing.

The other options mentioned are not appropriate or effective actions to relieve the client's discomfort:

Lowering the height of the solution container: Lowering the height of the solution container will decrease the force of the fluid flow but may not address the underlying cause of the cramping. Allowing the client to expel some fluid is a more appropriate intervention.

Stopping the enema and documenting that the client did not tolerate the procedure: While it is important to monitor the client's tolerance during the procedure, abruptly stopping the enema and documenting intolerance may not be necessary if the discomfort can be relieved by allowing the client to expel some fluid. The nurse should prioritize relieving the discomfort before deciding to stop the procedure.

Encouraging the client to bear down: Bearing down or pushing can increase intra-abdominal pressure and exacerbate the cramping. This action is not recommended in this situation.

When reinforcing teaching with a client who has a new prescription for aluminum hydroxide to treat heartburn, the nurse should include constipation as an adverse effect of the medication. Aluminum hydroxide is an antacid commonly used to neutralize stomach acid and provide relief from heartburn and indigestion. However, one of its potential side effects is constipation. Aluminum hydroxide can slow down intestinal motility, leading to infrequent or difficult bowel movements.

Hypertension: Aluminum hydroxide is not known to cause hypertension (high blood pressure). However, clients with pre-existing hypertension should be cautious when using antacids containing sodium bicarbonate, as the sodium content may impact blood pressure levels.

Flatulence: Flatulence (excessive gas) is not a common adverse effect of aluminum hydroxide. It primarily works by neutralizing stomach acid and does not typically cause increased gas production.

Headache: Headache is not commonly reported as an adverse effect of aluminum hydroxide. It is more likely to be associated with other factors such as the underlying condition causing heartburn or individual factors.