Author Question: A patient who had a laparoscopic surgical procedure has called the clinical facility with complaints ... (Read 112 times)

Pineapplelove6 · **on:** Jun 25, 2018

A patient who had a laparoscopic surgical procedure has called the clinical facility with complaints of vaginal discharge. What action should the nurse take first?

1. document the complaint
2. notify the physician
3. ask the patient to come to the clinic immediately
4. check if the patient has been prescribed an antibiotic

Question 2

The nurse is performing a breast examination on a 22-year-old female patient and notes that the nipples are pointing in different directions. What action is indicated?

1. The findings should be documented as normal.
2. The nurse will need to question the patient to determine if she is breastfeeding.
3. The finding will need to be reported for follow-up hormone level assessments.
4. The finding will need to be reported for further testing to rule out a malignancy.

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

Answer to Question 1

Correct Answer: 1
After a laparoscopic surgery, the patient may experience a small amount of vaginal bleeding or discharge. This discharge should be managed with perineal pads. The complaint is normal and should be documented and the patient provided with the needed education. There is no need at this time to contact the physician to report normal findings or for the patient to be seen immediately at the clinic. There is no indication the patient has an infection.

Answer to Question 2

Correct Answer: 4
The nipples should point in the same direction. Asymmetry in direction may indicate the presence of a malignancy. This finding is not normal. Breastfeeding would not affect the direction in which the nipples point. Hormone levels may be associated with nipple discharge but not with asymmetry in their direction.