Which nursing action is critical after the delivery of a client who had an episiotomy?

Encouraging proper perineal hygiene is essential after the delivery of a client who had an episiotomy for several reasons. The perineal area is particularly vulnerable to infection and complications following surgical intervention during childbirth. Helping the client maintain good hygiene can significantly decrease the risk of infection at the surgical site, promote healing, and enhance overall comfort.

Proper perineal care involves instructing the client to clean the area gently with warm water after using the toilet and to use sanitary pads that are changed frequently. This care helps to keep the area dry and clean, which is vital for recovery. Additionally, hygiene practices can alleviate discomfort associated with an episiotomy, allowing the client to focus on recovery and bonding with their newborn.

While monitoring for signs of infection, applying an abdominal binder, and observing for urinary retention are also important nursing actions in postpartum care, they are not as immediate or critical as facilitating proper hygiene in the context of an episiotomy. Maintaining perineal hygiene serves as a proactive measure to prevent complications, which is why it is considered the most important action in this scenario.