A client had a posterior colporrhaphy. Which statement by the client indicates an adequate understanding of discharge instructions?
a. "I'll eat a high-fiber diet so I won't get constipated again."
b. "I'll expect my periods to decrease within the next 6 months."
c. "I'll need to eat a low-residue diet."
d. "I'll call the surgeon if I saturate more than one pad in 4 hours."
C
A posterior colporrhaphy is a treatment for a rectocele. After-care instructions include a low-residue (fiber) diet and stool softeners to decrease stool numbers and straining. A high-fiber diet is used when rectoceles are managed medically. The repair will have no effect on vaginal bleeding or on the number of periods.
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