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Which instructions should a nurse provide to a client following delivery regarding care of the episiotomy site to prevent infection? Select all that apply.

1. Report a foul-smelling discharge.
2. Take a warm sitz baths three times a day.
3. Change the perineum pads three times a day.
4. Use warm water to rinse the perineum after elimination.
5. Wipe the perineum from front to back after voiding and defecation.

1 Answer

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Final answer:

To prevent infection at the episiotomy site, it's important to report any foul-smelling discharge, take warm sitz baths, change perineum pads frequently, rinse the perineum with warm water after elimination, and wipe from front to back after using the restroom.

Step-by-step explanation:

After delivering a baby and receiving an episiotomy or dealing with a perineal tear, it's crucial to take precautions to promote healing and prevent infection at the site. Instructions for care include:

  • Report a foul-smelling discharge. This may be a sign of infection.
  • Take warm sitz baths three times a day to reduce discomfort and promote healing.
  • Change perineum pads at least three times a day, ensuring the area stays clean and dry.
  • Use warm water to rinse the perineum after elimination, which can help prevent infection.
  • Wipe the perineum from front to back after voiding and defecation to avoid bacterial contamination.

These measures are important to maintain hygiene, support the healing process, and monitor for signs of potential infection at the episiotomy or tear site.

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