A nurse is assigned to perform vaginal irrigation on a client. What step should be followed when performing the procedure?
A) Place the client in Fowler's position for the procedure.
B) Place the irrigating bag 20 inches above the client's hip level.
C) Separate the labia and gently insert the douche nozzle.
D) Release the clamp to let air out after inserting the nozzle.
C
Feedback:
When performing vaginal irrigation, the nurse should separate the client's labia and gently insert the nozzle of the disposable douche. The client should maintain a supine position with a rolled bath blanket under her head. The irrigating bag should not be placed more than 18 inches above the client's hip level. This position helps to prevent infection of the uterus and ensures a continuous but gentle flow of solution. The nurse should release the clamp to let air out of the tubing before inserting the nozzle to prevent the distention of the uterus or vagina.
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