The nurse is completing discharge teaching for a client who delivered 2 days ago. Which statement indicates that further information is required?
1. "I can take ibuprofen (Motrin) when my perineum starts to hurt."
2. "Soaking in the tub will help my mediolateral episiotomy to heal."
3. "The tear I have through my rectum is unrelated to my episiotomy."
4. "Because I have a midline episiotomy, I should keep my perineum clean."
3
Explanation:
1. Healing episiotomies can be very painful, and pain medication should be provided for clients experiencing pain.
2. Warm tub baths are helpful to facilitate both comfort and healing of an episiotomy.
3. This statement is incorrect. Midline episiotomies tend to tear posteriorly toward the rectum.
4. When a client has an episiotomy, perineal hygiene is important to prevent infection and facilitate healing.
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