When developing the plan of care for a woman who has had an abdominal hysterectomy, the nurse would identify which action as contraindicated?
encouraging range-of-motion exercises
ambulating the client
applying elasticized stockings
massaging the client's legs
The Correct Answer is C
A. Encouraging range-of-motion exercises: Range-of-motion exercises are generally encouraged post-hysterectomy to prevent complications such as blood clots and promote circulation. This action is appropriate and not contraindicated.
B. Ambulating the client: Ambulation is an essential aspect of postoperative care to prevent complications like atelectasis, pneumonia, and deep vein thrombosis (DVT). This action helps improve circulation and aids in the recovery process. It is appropriate and not contraindicated.
C. Applying elasticized stockings: Elasticized stockings, also known as compression stockings, are commonly used postoperatively to prevent deep vein thrombosis (DVT) by promoting blood flow in the legs. However, in the case of abdominal hysterectomy, if the incision site is below the level of the stockings, they may impede circulation to the surgical site and hinder wound healing. Therefore, this action may be contraindicated depending on the specific circumstances of the surgery and incision site.
D. Massaging the client's legs: Massaging the client's legs is generally not recommended post-hysterectomy, especially in the immediate postoperative period. Manipulating the legs could potentially disrupt healing tissues, increase the risk of bleeding, or cause discomfort to the client. Therefore, this action may be contraindicated.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Immunization:
Currently, there is no licensed vaccine available for the prevention of cytomegalovirus (CMV) infection. Therefore, immunization is not a viable option for preventing CMV infection during pregnancy. While researchers are actively working on developing a CMV vaccine, it is not yet available for widespread use.
B. Prenatal screening:
Prenatal screening for CMV is not routinely performed during prenatal care. Screening for CMV during pregnancy is not typically recommended unless there is a specific clinical indication, such as maternal symptoms suggestive of acute CMV infection or fetal abnormalities detected on ultrasound. Therefore, prenatal screening is not a primary preventive measure for CMV infection during pregnancy.
C. Antibody titer screening:
Antibody titer screening for CMV is also not routinely performed during prenatal care. While some healthcare providers may offer CMV antibody testing in certain situations, such as for women with a known exposure to CMV or those at increased risk of primary CMV infection during pregnancy, it is not a standard practice for all pregnant women. Therefore, antibody titer screening is not a primary preventive measure for CMV infection during pregnancy.
D. Frequent handwashing:
Frequent handwashing is the most important preventive measure for reducing the risk of CMV infection during pregnancy. CMV is commonly transmitted through close contact with bodily fluids, such as saliva, urine, blood, and genital secretions. Proper hand hygiene, including washing hands with soap and water for at least 20 seconds, especially after coming into contact with young children's saliva or urine, can help prevent the spread of CMV. This measure is crucial for pregnant women to reduce their risk of acquiring CMV and transmitting it to their unborn babies.
Correct Answer is A
Explanation
A. Recurrent pelvic infections:
Pelvic infections, particularly those affecting the fallopian tubes (such as pelvic inflammatory disease), can lead to scarring and damage to the fallopian tubes. Scar tissue can obstruct the normal passage of the fertilized egg, increasing the risk of ectopic pregnancy.
B. Heavy, irregular menses:
While irregular menstrual cycles can sometimes be associated with conditions like polycystic ovary syndrome (PCOS), heavy and irregular menses are not typically considered direct risk factors for ectopic pregnancy. However, underlying conditions contributing to irregular menstrual cycles, such as hormonal imbalances or conditions affecting the reproductive organs, could potentially increase the risk.
C. Use of oral contraceptives for 5 years:
Oral contraceptives (birth control pills) are known to significantly reduce the risk of ectopic pregnancy. They work by preventing ovulation and altering the uterine lining, making it less likely for a fertilized egg to implant outside the uterus. Therefore, long-term use of oral contraceptives would generally decrease the risk of ectopic pregnancy rather than increase it.
D. Ovarian cyst 2 years ago:
While ovarian cysts are common and usually benign, they typically do not directly contribute to the risk of ectopic pregnancy. However, certain types of ovarian cysts, such as those associated with conditions like polycystic ovary syndrome (PCOS) or endometriosis, may indirectly affect fertility and increase the risk of complications during pregnancy, including ectopic pregnancy.
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