Final answer:
The correct post-operative care for a hemorrhoidectomy includes using a sitz bath after each bowel movement, maintaining a high-fiber diet with plenty of fluids, and following a healthcare provider's guidance on the use of laxatives. Attention should also be paid to general health guidelines and liver health. The correct option is A .
Step-by-step explanation:
The nurse assisting in the care of a patient two days post-operative from a hemorrhoidectomy would be correct in instructing the patient to use a sitz bath after each bowel movement. A sitz bath is a warm, shallow bath that cleanses the perineal area, which is quite helpful for patients who have had surgery for hemorrhoids. This aids in promoting healing and relieving discomfort.
A high-fiber diet is important after such a procedure to help ensure soft stools and reduce the strain during bowel movements, which can disrupt the surgical site and healing process. The correct diet should include plenty of fruits, vegetables, and whole grains to naturally increase fiber intake. Drinking an adequate amount of fluids, particularly water, is also essential, as it works in tandem with dietary fiber to facilitate easier and more comfortable bowel movements.
While ice packs can reduce discomfort and swelling immediately following surgery, two days post-operatively, the focus often shifts to other methods of pain relief and reducing inflammation. As for laxatives, they are not typically recommended as a daily regimen without specific instruction from a healthcare provider because they can become habit-forming and lead to a dependency for regular bowel movements.
It's also important for the patient to follow general health guidelines like avoiding draughts of air, staying warm to prevent infections, and attending to all disorders of the bowels. Furthermore, incorporating regular exercise into the routine improves overall digestive health.
Lastly, maintaining a healthy liver is crucial since it processes nutrients from digested food and removes toxins from the body. Substance abuse, such as excessive alcohol intake, can significantly damage the liver, leading to cirrhosis and other health issues.