ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 57 : Management of Patients with Female Reproductive Disorders Questions
Question 1 of 5
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?
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.
Question 2 of 5
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 disturbed body image related to perception of femininity. What intervention would be most appropriate for this patient?
Correct Answer: D
Rationale: Reassuring the patient that sexual intercourse is possible post-hysterectomy with satisfaction and orgasm addresses body image concerns related to femininity. The patient cannot have children after hysterectomy, and assuming her feelings is inappropriate.
Question 3 of 5
A patient is post-operative day 1 following a vaginal hysterectomy. The nurse has notes an increase in the patient's abdominal girth and the patient complains of bloating. What is not the nurses most appropriate action?
Correct Answer: B
Rationale: Applying a warm compress to the abdomen can relieve bloating and flatus post-hysterectomy. Carbonated beverages and ice packs are not recommended, and prone positioning may be uncomfortable.
Question 4 of 5
A patient has returned from a hysterectomy to the post-surgical unit. The patient's care plan addresses the a risk of hemorrhage. How should the nurses best monitor the patient's postoperative blood loss?
Correct Answer: B
Rationale: Counting and inspecting perineal pads monitors blood loss accurately. Swabbing is insufficient, toilet use is unnecessary, and leaving the perineum open is not standard practice.
Question 5 of 5
A patient diagnosed with cervical cancer will soon begin round of radiation therapy. When planning the patient's subsequent care plan, the nurse should prioritize actions with what goal?
Correct Answer: C
Rationale: Safety during radiation therapy is critical to protect patients, family, and staff from exposure. Hemorrhage is not a common risk, and the treatment may be curative. Dietary restrictions are not typically required.