The nurse is giving discharge instructions to a client who had a total abdominal hysterectomy. Which statements by the client indicate a need for further teaching? (Select all that apply.)
a. "I should not have any problems driving to see my mother, who lives 3 hours away."
b. "Now that I have time off from work, I can return to my exercise routine next week."
c. "My granddaughter weighs 23 pounds, so I need to refrain from picking her up."
d. "I will have to limit the times that I climb our stairs at home to morning and night."
e. "For 1 month, I will need to refrain from sexual intercourse."
ANS: A, B
Driving and sitting for extended periods of time should be avoided until the surgeon gives permission. For 2 to 6 weeks, exercise participation should also be avoided. All of the other responses demonstrate adequate knowledge for discharge. The client should not lift anything heavier than 10 pounds, should limit stair climbing, and should refrain from sexual intercourse.
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