What action should the nurse take when a male client holds his breath while bearing down for a rectal suppository insertion?

When a male client holds his breath while bearing down for a rectal suppository insertion, the appropriate action is to instruct him to take slow deep breaths. This technique is beneficial because it helps to relax the body, including the anal sphincter, which can make the insertion of the suppository easier and more comfortable. Holding the breath can create tension, which may complicate the insertion process. Encouraging deep breathing promotes relaxation and can also help the client regain a sense of control during what may be an uncomfortable procedure.

In contrast, advising the client to continue bearing down could increase tension and discomfort, and gently inserting the suppository without addressing the client's breathing might be ineffective or uncomfortable. Performing a digital exam to check for fecal impaction is not necessary in this situation unless there are specific indicators of an impaction that warrant that approach. Therefore, guiding the client to breathe slowly can significantly improve the overall experience for both the client and the nurse.