Final answer:
To reduce hemorrhoid discomfort, the most effective intervention is to use warm sitz baths, increase dietary fiber, stay hydrated, and maintain regular exercise, rather than decreasing fiber intake, using laxatives, or reducing physical activity (option c).
Step-by-step explanation:
To decrease discomfort from hemorrhoids, the most appropriate interventions recommended by a nurse would include lifestyle and dietary changes. Contrary to the option of decreasing fiber in the diet, increasing dietary fiber is important as it can soften stool and increase its bulk, which helps reduce straining during bowel movements.
The correct intervention among the choices given would be to utilize warm sitz baths. This method involves sitting in warm water for 10-15 minutes several times a day, especially after bowel movements. This can aid in reducing inflammation and providing symptomatic relief. The use of laxatives should be approached with caution, as overuse can lead to further irritation or dependency. Decreasing physical activity is not advised; instead, regular exercise is encouraged as it can help promote regular bowel movements.
Ensuring adequate hydration by drinking plenty of water and consuming a balanced diet low in fat and high in fiber are also key components of managing hemorrhoids. Soluble fiber supplements may also be beneficial, particularly for individuals with irritable bowel syndrome, as they can help manage bowel movement consistency and alleviate abdominal discomfort.
Hence, the answer is option c.