After teaching a client with an anal fissure, a nurse assesses the client's understanding. Which client actions indicate that the client correctly understands the teaching? (Select all that apply.)

Question

a. Taking a warm sitz bath several times each day
b. Utilizing a daily enema to prevent constipation
c. Using bulk-producing agents to aid elimination
d. Self-administering anti-inflammatory suppositories
e. Taking a laxative each morning

Answer 1

ANS: A, C, D
Taking warm sitz baths each day, using bulk-producing agents, and administering anti-inflammatory suppositories are all appropriate actions for the client with an anal fissure. The client should not use enemas or laxatives to promote elimination, but rather should rely on bulk-producing agents such as psyllium hydrophilic mucilloid (Metamucil).