Nokea
A patient is being discharged home after a hysterectomy. When providing discharge education for this patient, the nurse has cautioned the patient against sitting for long periods. This advice addresses the patients risk of what surgical complication?
- A. Pudendal nerve damage
- B. Fatigue
- C. Venous thromboembolism
- D. Hemorrhage
Correct Answer: C
Rationale: Prolonged sitting after a hysterectomy increases the risk of venous thromboembolism due to blood pooling in the pelvis. It does not directly cause nerve damage, fatigue, or fatigue.
You may also like to solve these questions
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.
Correct Answer: D
Rationale: 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 patients hormonal balance is upset, which usually occurs in reproductive system disturbances.
A patient with a genital herpes exacerbation has a nursing diagnosis of acute pain related to the genital lesions. What nursing intervention best addresses this diagnosis?
- A. Cover the lesions with a topical antibiotic.
- B. Keep the lesions clean and dry.
- C. Apply a topical NSAID to the lesions.
- D. Remain on bed rest until the lesions resolve.
Correct Answer: B
Rationale: Keeping herpes lesions clean and dry reduces pain and promotes healing. Antibiotics are ineffective for viral infections, and topical NSAIDs are not standard. Bed rest is unnecessary unless pain is severe.
When teaching patients about the risk factors of cervical cancer, what would the nurse identify as the most important risk factor?
- A. Late childbearing
- B. Human papillomavirus (HPV)
- C. Postmenopausal bleeding
- D. Tobacco use
Correct Answer: B
Rationale: HPV is the most salient risk factor for cervical cancer, exceeding the risks posed by smoking, late childbearing, and postmenopausal bleeding.
A female patient with HIV has just been diagnosed with condylomata acuminata (genital warts). What information is most appropriate for the nurse to tell this patient?
- A. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) test annually.
- B. The most common treatment is metronidazole (Flagylastin), which should eradicate the problem within 7 to 10 days.
- C. The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse.
- D. The human papillomavirus (HPV), which causes condylomata acuminata, cannot be transmitted during oral sex.
Correct Answer: A
Rationale: HIV-positive women have a higher rate of HPV. Infections with HPV and HIV together increase the risk of malignant transformation and cervical cancer. Thus, women with HIV infection should have frequent Pap smears. Because condylomata acuminata is a virus, there is no permanent cure. Condoms reduce but do not eliminate transmission risk. HPV can be transmitted to other parts of the body, including during oral sex.
Following a recent history of dyspareunia and lower abdominal pain, a patient has received a diagnosis of pelvic inflammatory disease (PID). When providing health education related to self-care, the nurse should address which of the following topics? Select all that apply.
- A. Use of condoms to prevent infecting others
- B. Appropriate use of antibiotics
- C. Taking measures to prevent pregnancy
- D. The need for a Pap smear every 3 months
- E. The importance of weight loss in preventing symptoms
Correct Answer: A,B
Rationale: Patients with PID should use condoms to prevent transmission and adhere to antibiotic regimens. Pregnancy prevention is not a primary concern, though ectopic pregnancy risk exists. Pap smears every 3 months are not required, and weight loss does not prevent PID symptoms.