The nurse is providing instructions about treatment for hemorrhoids to the client who is in the second trimester of pregnancy. Which of the following statements, if made by the client, indi-cates a need for further instruction?
1. "I should perform Kegel exercises as you have instructed."
2. "Cool sitz baths will help in relieving the discomfort."
3. "I should apply heat packs to the hemorrhoids to help them shrink."
4. "I can apply ice packs to the hemorrhoids to assist in relieving discomfort."
3
Rationale: Remedies for the symptoms of hemorrhoids include ice packs; warm or cold sitz baths; gentle cleansing; or topical ointments and anesthetic agents. Kegel exercises help strengthen the perineum. Hot packs will increase the blood flow to the area and worsen the dis-comfort from hemorrhoids.
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