The nurse is providing preoperative education for a patient diagnosed with endometriosis. A hysterectomy has been scheduled. What education topic should the nurse be sure to include for this patient?
A) Menstrual periods will continue to occur for several months, some of them heavy.
B) Normal activity will be permitted within 48 hours following surgery.
C) After a hysterectomy, hormone levels remain largely unaffected.
D) The bladder must be emptied prior to surgery and a catheter may be placed during surgery.
Ans: D
Feedback:
The intestinal tract and the bladder need to be empty before the patient is taken to the OR 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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