Anurse is reviewing the medical record of a client who is one day postpartum. the client had a vaginal birth with a fourth-degree perineal laceration.

The nurse should contact the provider regarding of bisacodyl rectal suppository in which daily as needed for constipation that no rectal suppository or enemas with 4-degree laceration. In addition, the nurse should not administer a rectal suppository or enemato a client who has a fourth-degree perineal laceration because these can cause separation of the suture line, bleeding or contamination. The docusate sodium an is a stool softener that is often recommended following birth. The client must take a stool softener until the perineum is cured because hard stool can detach the suture line between the vagina and rectum prominent to bleeding and infection. The sitz bath complete with warm water is calming to the perineum because the warm water also upsurges blood flow to the tissues encouraging curative. The nurse should reassure the client to use a sitz bath two to three times per day or as frequently as needed to decline perineal pain. 

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