A patient is preparing to return home after repair of a vaginal fistula. What teaching should the nurse provide before this patient is discharged?
Select all that apply.
1. Maintain bed rest for a week.
2. Use perineal pads as directed.
3. Perform perineal irrigation as prescribed.
4. Cleanse the perineal area daily with a sitz bath.
5. Apply topical antibacterial ointment to the area.
Correct Answer: 2, 3, 4
Perineal pads may be used to absorb urine or fecal drainage. Perineal irrigation will keep the area clean, reduce irritation, and prevent further tissue breakdown. Sitz baths will help with cleansing the area. Bed rest is not indicated in the postoperative care of a vaginal fistula. Topical antibacterial ointment is not used in the care of a vaginal fistula.
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