A patient is preparing to be discharged to home after a total hysterectomy
Which statements by the patient indicate to the nurse that the teaching session has been successful? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I will need to report a temperature greater than 101 degrees.".
2. "I will experience vaginal bleeding after the surgery.".
3. "I will need to report any hot flashes and night sweats.".
4. "I will still need to see my physician for gynecological examinations.".
5. "I can resume sexual intercourse as soon as I desire.".
2,4
Rationale 1: The patient should be advised to seek medical advice if the temperature rises over 100°F.
Rationale 2: Vaginal bleeding after hysterectomy can last up to 4 weeks.
Rationale 3: The patient who has a hysterectomy with the loss of the ovaries will immediately begin surgical menopause. The loss of estrogen is immediate. It will take time for the hormone replacement therapy to manage the clinical manifestations associated with menopause.
Rationale 4: The patient who has had a hysterectomy still will need gynecological examinations.
Rationale 5: The patient should not have intercourse or place anything in the vagina until released by the health care provider in 6 to 8 weeks.
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