A client has undergone a vaginal hysterectomy with a bilateral salpingo-oophorectomy. She is concerned about a loss of libido. What intervention by the nurse would be best?

a. Suggest increasing vitamins and supplements daily.
b. Discuss the value of a balanced diet and exercise.
c. Reinforce that weight gain may be inevitable.
d. Teach that estrogen cream inserted vaginally may help.


ANS: D
Use of vaginal estrogen cream and gentle dilation can help with vaginal changes and loss of libido. Weight gain and masculinization are misperceptions after a vaginal hysterectomy. Vitamins, supplements, a balanced diet, and exercise are helpful for healthy living, but are not necessarily going to increase libido.

Nursing

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Which of the following would the community health nurse implement as primary prevention efforts to reduce substance abuse?

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