Which statements indicate that S.K. understands the discharge instructions? Select all that
apply.
a. "I can take 325 mg of aspirin every 6 hours for the cramping pain."
b. "I will try to eat more beans and spinach over the next several days."
c. "I will call if I continue to have heavy bleeding, soaking a pad an hour."
d. "I will avoid sexual intercourse until the bleeding has completely stopped."
e. "If I get dizzy or feel my heart beating funny, I will come back to the emergency room."
b, c, e
Discharge instructions after an episode of abnormal uterine bleeding include teaching the
patient to call the health care provider if she passes clots the size of a half-dollar or larger, soaks
a pad or tampon at least every hour, or develops severe abdominal pain. Ibuprofen or naproxen
can be taken for cramps or discomfort. Avoid aspirin products because they can increase bleeding.
Dizziness or heart palpitations can signal excessive blood loss, and the patient should contact the
health care practitioner right away. She can engage in sexual activity and other activities of daily
living, including swimming and exercise, while still bleeding. To combat anemia related to the blood
loss, she should try to get plenty of iron in her diet, eating foods such as liver, beans, and spinach.
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