A 27-year-old female patient is diagnosed with invasive cervical cancer and is told she needs to have a hysterectomy
One of the nursing diagnoses for this patient is alteration in body image related to the effect on femininity of the surgery. What intervention would be appropriate for this patient?
A) Reassure the patient that she will still be able to have children.
B) Reassure the patient that you don't have to have sex to be feminine.
C) Reassure the patient that you know how she is feeling and that you feel her anxiety and pain.
D) Reassure the patient that she will still be able to have intercourse with sexual satisfaction and orgasm.
Ans: D
Feedback: The patient needs reassurance that she will still have a vagina and that she can experience sexual intercourse after temporary postoperative abstinence while tissues heal. Information that sexual satisfaction and orgasm arise from clitoral stimulation rather than from the uterus reassures many women. Most women note some change in sexual feelings after hysterectomy, but they vary in intensity. In some cases, the vagina is shortened by surgery, and this may affect sensitivity or comfort. It would be inappropriate to reassure the patient that she will still be able to have children; there is no reason to reassure the patient about not being able to have sex. There is no way you can know how the patient is feeling and it would be inappropriate to say so.
You might also like to view...
Which of the following describes the life-threatening condition that is characterized by a rapid shift of fluid from the plasma
into the pulmonary interstitial tissue and the alveoli and that can occur as a result of severe left ventricular failure? a. pneumothorax c. pulmonary edema b. pulmonary hypertension d. pulmonary embolism
Which of the following features would alert the nurse that the client is in the transition phase of labor?
A) Reduction of rectal pressure B) Decrease in bloody show C) Enthusiasm in the client D) Beginning of the urge to bear down
A patient's urine output is greater than 200 mL/hour and hemodynamic stability cannot be achieved by using fluids and vasoactive medications. The nurse anticipates that which medication may be prescribed?
1. Beta blocker such as Lopressor 2. Diuretic such as furosemide 3. Concentrated sugar such as 50% dextrose 4. Hormone such as vasopressin
The nurse is preparing to give an injection to a young child. Which technique should the nurse use?
A. Request the parent to leave the room. B. Allow the parent to remain with the child. C. Have the parent restrain the child. D. Place the child in the parent's lap.