A client is about to undergo an abdominal hysterectomy. When planning care for the client, the nurse should initiate which intervention?
1. Leg exercises and early ambulation
2. Increasing fluid volume
3. Teaching the client to resume normal activities on discharge
4. Explaining that hormone replacement is unnecessary
Answer: 1
1. The client who has an abdominal hysterectomy is at greater risk for developing deep vein thrombosis and pulmonary embolism. The nurse seeks to decrease the risk by having the client ambulate early and perform leg exercises to increase venous return.
2. The client will be on IV fluids immediately postoperative at a rate ordered by the physician.
3. The client is taught to refrain from strenuous activity for 4-6 weeks after surgery.
4. If the client's ovaries were removed as well as the uterus, the client will be placed on hormone therapy.
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