The nurse has provided instruction to the client concerning the ...

[Themember4]

The nurse has provided instruction to the client concerning the use of the sitz bath. After the instruction the nurse is evaluating the client's understanding of the education. Which findings indicate the need for further instruction?
 
  Select all that apply.
  A) The client uses cool water for the treatment.
  B) The client heats the water to a temperature between 115 and 120 degrees.
  C) The client reports that the treatment will take approximately 20 minutes.
  D) The client explains to the nurse that the treatment will result in a reduction of discomfort for her hemorrhoids as a result of vessel constriction.
  E) The client reports the treatment will promote circulation to the problem area.

Question 2

The mother of a school-age child voices concern to the nurse about her 4-year-old son continuing to wet the bed at night. What information should be provided by the nurse?
 
  A) It is very uncommon for a child of this age to have bedwetting issues.
  B) Did any of your other children have this problem?
  C) While this is distressing it is not completely uncommon, but interventions are not normally introduced until age 6.
  D) You will need to strictly restrict intake in the afternoon and evenings to prevent this from happening.

[chem1s3]

Answer to Question 1

Ans: A, B, D
Feedback:
A sitz bath can be helpful in soaking a client's pelvic area in warm water to decrease inflammation after childbirth, rectal surgery, or to decrease the inflammation of hemorrhoids. Immersing only the pelvic region allows for application of local heat without widespread vasodilation that results when the entire body is placed in warm water. A sitz bath can be given in a special chair or tub in which the client sits. A portable device placed in the toilet also can be used and is illustrated in Figure 23-5. Warm water circulates gradually into the disposable device through tubing attached to a bag of warm water. The sitz bath usually lasts 20 minutes; the temperature of the water should be maintained at 105F to 110F, with care taken not to burn the client.

Answer to Question 2

Ans: C
Feedback:
Many children achieve daytime bowel and bladder control between 2 and 3 years. They usually stay dry through the night by 4 years, but some children still wet the bed at night until 6 years, after which time nursing intervention may be necessary.