A woman has painful hemorrhoids after a vaginal birth. Her husband brings her a donut pillow to sit on. What response by the nurse is best?
A.
"A lot of women get good pain relief from these."
B.
"Donut pillows actually increase hemorrhoid pain."
C.
"I will have to get permission for her to use this."
D.
"That was nice of you, but these don't work well."
ANS: B
Soft surfaces and pillows such as donut rings should not be used by the woman with hemorrhoids, as they separate the buttocks when the woman sits down and decrease venous flow, which increases pain. The woman should be instructed to sit on hard surfaces and tighten the buttocks prior to sitting. The other responses do not give accurate information.
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