Which statement about the treatment of hemorrhoids indicates that a pregnant client needs further instruction?

The statement regarding the application of heat packs to hemorrhoids indicates that the pregnant client needs further instruction because using heat packs is not a standard recommendation for treating hemorrhoids. Heat may lead to increased swelling and discomfort, rather than the intended effect of reducing hemorrhoid size or symptoms. In contrast, the other statements reflect appropriate and common practices in managing hemorrhoids during pregnancy.

Increasing fluid intake (mentioned in the second statement) is a well-recognized method to help prevent constipation, which is a significant contributing factor to hemorrhoids. Using topical treatments (as highlighted in the third statement) is also advisable, as many options are available and can provide relief. Finally, performing sitz baths (as stated in the fourth) is a recommended practice known to soothe irritation and promote healing by providing comfort and relief from discomfort associated with hemorrhoids.