A client has undergone a repair of a vesicovaginal fistula. The physician orders a vaginal douche to remove drainage and keep the area clean. Before giving the douche, the nurse observes that the drainage is serosanguineous. Which action would the nurse do next?

Question

Quizplus · Accepted Answer

Serosanguineous drainage is a normal finding after vesicovaginal fistula repair. Therefore, the nurse should record it as normal and proceed with the vaginal douche as ordered to keep the area clean. Informing the physician immediately or obtaining a specimen for C&S is not necessary in this situation. Advising daily bathing and frequent perineal hygiene is a general recommendation for all clients and not specific to this situation.

A Client Has Undergone a Repair of a Vesicovaginal Fistula