A nurse is reinforcing discharge teaching with a client who had a total abdominal hysterectomy and a vaginal repair. Which of the following statements by the client indicates a need for further teaching?
"Once I am able to resume sexual activity, I can use a water-based lubricant if I experience discomfort."
"I will no longer have menstrual periods."
"I will take a tub bath instead of a shower."
"I should increase my intake of protein and vitamin C."
The Correct Answer is C
A. Using a water-based lubricant during sexual activity can help reduce discomfort or vaginal dryness, which may occur after a hysterectomy.
B. After a total abdominal hysterectomy, menstrual periods will cease because the uterus, and often the ovaries, are removed during the procedure.
C. Taking a tub bath instead of a shower is not recommended after a total abdominal
hysterectomy and vaginal repair. Bathing in a tub can increase the risk of infection, especially if the surgical incisions are still healing. The client should avoid submerging the surgical site in water until it has fully healed and cleared by their healthcare provider.
D. Increasing intake of protein and vitamin C can support wound healing and overall recovery after surgery. This statement indicates appropriate understanding of postoperative care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Cyclosporine. While cyclosporine is used to treat aplastic anemia, particularly in cases of immune-mediated aplastic anemia, it is not considered a potential cure.
B. Stem cell transplantation. Stem cell transplantation is both a standard treatment and a potential cure for aplastic anemia, especially for younger patients with a suitable donor.
C. Plasmapheresis. Plasmapheresis is not a standard treatment for aplastic anemia.
D. Transfusions. Blood transfusions are a supportive treatment for aplastic anemia but not a cure.
Correct Answer is B
Explanation
A. Presence of plethora is a common symptom of polycythemia vera and indicates increased blood volume but is not immediately life-threatening.
B. Calf swelling and pain could indicate a deep vein thrombosis (DVT), which is a serious complication that requires immediate medical attention.
C. A platelet count of 450,000/microL is elevated but not as critical as the possibility of a DVT.
D. Hematocrit of 55% is high, which is expected in polycythemia vera, but it is not as immediately critical as the risk of thrombosis suggested by calf swelling and pain.
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