A client has had a hemorrhoidectomy and has been ordered a sitz ...

[panfilo]

A client has had a hemorrhoidectomy and has been ordered a sitz bath BID. Which of the following interventions is appropriate in assisting the client with his bath?
 
  1. Flatten the reservoir bag on a hard surface and press on it to expel air.
  2. Have the client use the clamp on the tubing to regulate the flow of water.
  3. Leave the client sitting on the basin for 45 minutes.
  4. Place the sitz bath on the commode seat, and fill the reservoir with warm water at 110F to 115F.

Question 2

Which nursing intervention should take priority when giving a bath to a surgical client on the first post-op day?
 
  1. Apply lotion to the extremities.
  2. Change the water when it becomes cold.
  3. Raise side rails when gathering supplies.
  4. Remove the soiled dressing during the bath.

[ms_sulzle]

Answer to Question 1

Correct Answer: 2
Rationale: Having the client use the clamp on the tubing to regulate the flow of water is a correct intervention. Flattening the reservoir is performed when an ice bag or hot water bottle is filled. The time for a sitz bath usually ranges from 15 to 20 minutes, not 45 minutes. The water in the reservoir should be about 105F, not 110F to 115F, which would be too hot.

Answer to Question 2

Correct Answer: 3
Rationale 1: Applying lotion to the skin would be performed before or after, not during, the bath.
Rationale 2: Changing the water needs to be done before it becomes cold, but it is not a priority.
Rationale 3: Raising the side rails would take priority when planning care. This is a safety issue, and safety is second on Maslow's hierarchy of needs. The client is only 1 day postop and may still be sedated, posing a risk for a potential fall.
Rationale 4: A dressing change would be performed before or after, not during, the bath and only with a doctor's order.

[panfilo]

Excellent

[scottmt]

Gracias!