Question

The nurse is assisting in developing a care plan for a client with an episiotomy. Which interventions would be included for the nursing diagnosis Acute pain related to perineal sutures?

a) Administer pain medication as prescribed
b) Encourage the client to sit for extended periods
c) Instruct the client on perineal care techniques
d) Provide a donut-shaped cushion for sitting

Answer 1

For a client with an episiotomy, the care plan should include administering pain medication, instructing on perineal care techniques, and providing a donut-shaped cushion for sitting. Sitting for extended periods is discouraged as it can impede healing.

Step-by-step explanation:

When developing a care plan for a client with an episiotomy and addressing the nursing diagnosis of Acute pain related to perineal sutures, several interventions can be included. The interventions aim to manage pain, support healing, and ensure the comfort of the patient. The following strategies may be incorporated:

• Administer pain medication as prescribed to manage discomfort.
• Instruct the client on perineal care techniques to maintain cleanliness and promote healing.
• Provide a donut-shaped cushion or a similar supportive item for sitting to reduce pressure on the perineum.

Encouraging the client to sit for extended periods is not recommended as it can increase discomfort and delay healing. Instead, rest and limited sitting are advised. Coordination of care with the surgeon, nurse, and anesthesia professional is key to ensure a comprehensive approach to the patient's recovery and care post-childbirth.