13. A client, who is gravida 6, para 2, is attending her regular prenatal appointment. She complains to a nurse about pain from her hemorrhoids. The nurse knows additional teaching would be required if the client states:
. "I should avoid getting constipated."
. "I can use hemorrhoid cream and witch hazel pads for relief."
. "I can take warm sitz baths frequently."
Test-Taking Tip
This question asks for the incorrect response.
Content Area: Maternity, Antepartum; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Basic Care and Comfort/Elimination
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Answer 1 is incorrect because the client should avoid getting constipated to reduce straining during a bowel movement. Answer 2 is incorrect because the client can use hemorrhoid cream and witch hazel pads for relief. Answer 3 is incorrect because the client can take warm sitz baths frequently to relieve the pain. Answer 4 is correct because the client should not stop taking iron supplements to relieve pain from hemorrhoids. Since iron can be constipating, the client should be given instructions to increase fiber and fluid intake to avoid constipation.