Questions: Which instruction would the nurse give to a client with a vaginal infection who is prescribed miconazole vaginal suppositories to ensure absorption? "Avoid wearing sanitary pads after insertion of the vaginal suppository." "Cleanse the vaginal area with water only while taking the suppositories." "After toileting, wipe from back to front so the suppository remains in place." "Assume a recumbent position for 30 minutes after inserting the suppository."

The answer is the fourth one: "Assume a recumbent position for 30 minutes after inserting the suppository."

Explanation for each option:

1. "Avoid wearing sanitary pads after insertion of the vaginal suppository."

   • This option is incorrect. Wearing sanitary pads does not affect the absorption of the suppository. In fact, using a pad can help protect clothing from any potential leakage.

2. "Cleanse the vaginal area with water only while taking the suppositories."

   • This option is incorrect. While maintaining hygiene is important, cleansing with water only does not specifically ensure the absorption of the suppository.

3. "After toileting, wipe from back to front so the suppository remains in place."

   • This option is incorrect and not recommended. Wiping from back to front can introduce bacteria from the anal area to the vaginal area, increasing the risk of infection.

4. "Assume a recumbent position for 30 minutes after inserting the suppository."

   • This option is correct. Lying down for 30 minutes after insertion helps ensure that the suppository remains in place and is absorbed properly, as it prevents the suppository from being expelled due to gravity or movement.

Summary: To ensure proper absorption of miconazole vaginal suppositories, the client should assume a recumbent position for 30 minutes after insertion.