The nurse is conducting discharge teaching for a postpartum client who has an episiotomy. Which client actions indicate correct understanding of the information presented? Select all that apply

Question

1. Using topical anesthetics regularly
2. Remaining in the sitz bath for 20 minutes
3. Using the peri-bottle to cleanse the site after urination
4. Stating that she will loosen her buttocks prior to sitting down
5. Stating that she will continue to use an ice pack for pain after discharge

Answer 1

1, 2, 3
Explanation:
1. The use of topical anesthetics regularly after an episiotomy is a client action that indicates correct understanding of episiotomy care.
2. The postpartum client who remains in a sitz bath for 20 minutes is correctly caring for an episiotomy.
3. The use of a peri-bottle each time the postpartum client urinates indicates correct understanding of episiotomy care.
4. The postpartum client who states she will loosen her buttocks prior to sitting down will require additional education regarding episiotomy care. The client should tighten her buttocks prior to sitting down.
5. The postpartum client who states she will continue to use an ice pack for pain after discharge will require additional education regarding episiotomy care. Ice packs are only used for the first 24 hours.