You are working in an outpatient surgery center caring for a patient who had a hemorrhoidectomy. What instructions would you provide this patient when you discharge him?
A) Keeping the perianal area clean by washing with washcloths moistened with cool water
B) How to take a sitz bath
C) What position to sit in
D) Keeping the perianal area clean by rubbing the area with moist cotton wipes
Ans: B
Feedback: The nurse instructs the patient to keep the perianal area as clean as possible by gently cleansing with warm water and then drying with absorbent cotton wipes. The patient should avoid rubbing the area with toilet tissue. Instructions are provided about how to take a sitz bath and how to test the temperature of the water. This makes options A and D incorrect. Most patients do not sit after hemorrhoid surgery unless they sit on a foam donut.
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