Question

A nurse prepares to give a sitz bath to a client after perianal surgery. Which of the following would be most important for the nurse to do?

a) Maintain the temperature of water at 100F
b) Encourage the use of sitz bath for about an hour
c) Keep the feet and torso uncovered
d) Assess for rapid pulse and facial pallor

Answer 1

The nurse's priority when giving a sitz bath after perianal surgery is to assess the client for rapid pulse and facial pallor to monitor vital signs and prevent complications.

Step-by-step explanation:

The most important action for the nurse to take when preparing to give a sitz bath to a client after perianal surgery is d) Assess for rapid pulse and facial pallor. Monitoring the client's vital signs is crucial to detect any signs of vasovagal response or adverse effects, as these could indicate complications such as bleeding or infection. While maintaining the water temperature at 100°F is important for comfort and therapeutic effect, ensuring that the client's vital signs are stable takes priority. It is also important not to encourage the use of sitz bath for about an hour, as prolonged exposure could increase the risk of injury or infection, and avoiding the feet and torso to remain uncovered to prevent hypothermia.