Postoperative nursing care for a woman who had a total hysterectomy includes (select all that apply):
a. Administering hormone replacement therapy as per MD orders
b. Informing the woman that she will experience small amounts of vaginal bleeding for several days
c. Instructing the woman to use tampons
d. Instructing the woman to increase her ambulation to facilitate return of normal intestinal peristalsis
ANS: b, d
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a. Hormone therapy is ordered for women who had a hysterectomy with salpingo-oophorectomy.
b. Women will experience a few days of vaginal bleeding.
c. Women should not put anything into the vagina until the area has healed.
d. Ambulation decreases the risk for deep vein thrombosis and also facilitates intestinal peristalsis.
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