The nurse is reviewing orders written for a postpartum patient with a fourth-degree perineal laceration. Which order should the nurse question before implementing?
A) Providing a sitz bath
B) Administering an enema
C) Urging to drink all the milk provided during meals
D) Administering acetaminophen and codeine for pain
B
Feedback:
A fourth-degree perineal laceration involves the entire perineum, rectal sphincter, and some of the mucous membrane of the rectum. Any patient who has a fourth-degree laceration should not have an enema prescribed because the hard tips of equipment could open sutures near to or including those of the rectal sphincter.
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