Final answer:
Before a practical nurse inserts medication into the vagina, the client should be instructed to empty her bladder, wash their hands, and understand how to use the applicator. It's crucial to provide dosage information, watch for reactions, and offer support.
Step-by-step explanation:
Before a practical nurse (PN) inserts medication into a client's vagina, there are specific instructions that should be given to ensure the process is performed safely and effectively. Initially, the PN should instruct the client to empty her bladder to make the insertion process more comfortable and to reduce the likelihood of expelling the medication prematurely. The client should be advised to wash her hands thoroughly to prevent introducing bacteria into the vaginal area. It's also important to explain how to use the applicator and to insert it at the correct angle, generally while lying on her back with knees bent or while standing with one leg elevated.
Afterward, inform the client that they should remain lying down for 10 to 15 minutes to ensure that the medication is absorbed properly and does not leak out. Detailed information about the dosage and frequency of the medication should be provided, along with symptoms to watch for in case of a reaction or side effect. Finally, the practical nurse should offer emotional support, answer questions, and provide reassurance throughout the process.