A patient with endometriosis undergoing a hysterectomy should receive which of the following as preoperative teaching?
A) Menstrual periods will continue to occur for several months.
B) Normal activity will be permitted following surgery.
C) After a hysterectomy, hormone levels remain balanced.
D) The bladder must be emptied prior to surgery.
Ans: D
Feedback: The intestinal tract and the bladder need to be empty before the patient is taken to the operating room to prevent contamination and injury to the bladder or intestinal tract. The patient is informed that her periods are now over, but she may have a slightly bloody discharge for a few days. The patient is instructed to avoid straining, lifting, or driving until her surgeon permits her to resume these activities. The patient's hormonal balance is upset, which usually occurs in reproductive system disturbances. The patient may experience depression and heightened emotional sensitivity to people and situations.
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What is the focus of the provision of palliative care? (Select all that apply.)
a. Care and not cure b. Service only in the hospital c. Environment for a pain-free death d. Psychologic support to the patient e. Psychologic support to the family
A client has presented at the Emergency Department reporting that she has been a victim of domestic abuse. After a physical exam, the next step the nurse should take is to:
a. do nothing b. share her personal experience of domestic violence c. counsel the victim on next steps d. ask the ED social worker to meet with the client to offer support and resources
While caring for a patient with a right radial arterial line, the nurse assesses that the fingers of the right hand are cool, pale, and dusky. Which intervention would be important to do first?
1. Obtain a blood pressure in the left arm. 2. Try to obtain a pulse using Doppler ultrasound. 3. Notify the physician stat. 4. Flush the arterial catheter and zero the line.
The nurse is advising an active pregnant woman on nutritional needs to maintain a healthy pregnancy. What would the nurse state is the average total additional energy (calorie) requirement during pregnancy?
A) 1,500 to 2,000 calories per day B) 2,000 to 2,500 calories per day C) 2,500 to 3,500 calories per day D) 3,500 to 4,000 calories per day