Author Question: A patient is preparing to be discharged to home after a panhysterectomy. Which patient statements ... (Read 119 times)

Tirant22 · **on:** Jun 25, 2018

A patient is preparing to be discharged to home after a panhysterectomy. Which patient statements indicate that discharge teaching has been successful?

Select all that apply.
1. I will need to report a temperature greater than 101 degrees.
2. I might experience vaginal bleeding for about 1 week.
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 should not drive my car for the next few weeks.

Question 2

The nurse is preparing to review the sexual response cycle with a 19-year-old client. In which order should the nurse review the phases of the cycle?

Choice 1. plateau
Choice 2. resolution
Choice 3. excitement
Choice 4. orgasm

elyse44 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 4
The patient who has had a hysterectomy still will need to have gynecological examinations. The woman should be instructed about the manifestations of infection, including fever, which should be reported to the surgeon. Vaginal bleeding after hysterectomy can last up to 4 weeks. 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 hormone replacement therapy to begin to manage the clinical manifestations associated with menopause. The recovery period before resuming regular activities is in part based on the type of surgery (vaginal, laparoscopic, or abdominal). There is not enough information in the question to assess this statement.

Answer to Question 2

Correct Answer: 3, 1, 4, 2
The sexual response cycle has four phases: excitement, plateau, orgasm, and resolution. These phases always occur in the same sequence; however, the duration of each phase may vary. Sexual arousal typically ends in orgasm (climax), but sometimes fails to do so. A refractory period in which the sexual organs are incapable of responding to stimulus does not occur in the female. Multiple orgasms are physically possible in all women.