After a vaginoplasty, what instruction by the nurse is most important?
a. "Avoid vaginal douching to prevent infection."
b. "Do not have sexual intercourse for at least 6 months."
c. "Use oil-based lubricants with the vaginal dilators."
d. "You must dilate the vagina several times a day for months."
ANS: D
Self-care management for this client includes instructions to dilate the new vagina several times a day for months after the procedure, using water-based lubricant. The client also needs to douche regularly, especially after intercourse, to avoid infections. Sexual intercourse is another way to keep the vagina dilated.
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