The nurse provides aftercare teaching to a patient recovering ...

[luminitza]

The nurse provides aftercare teaching to a patient recovering from a colposcopy. Which patient statement indicates an understanding of the information?
 
  Select all that apply.
  1. I will need to avoid heavy lifting for the next 4 weeks.
  2. I should douche at the end of 1 week to remove vaginal discharge.
  3. I can take ibuprofen for pain if needed.
  4. I will have some light vaginal discharge.
  5. I will report a temperature elevation to the physician's office.

Question 2

The nurse is conducting a follow-up call to a patient who had an exploratory laparoscopic surgical procedure 36 hours ago. The patient reports feeling shoulder pain. How should the nurse respond?
 
  1. The surgical table is famous for causing patients shoulder pain after procedures.
  2. You are likely not sleeping well, which can lead to shoulder discomfort.
  3. This pain is caused by the gases used during the surgical procedure.
  4. This pain should go away soon.

[katara]

Answer to Question 1

Correct Answer: 3, 4, 5
The colposcopy is a minor procedure to manage cervical dysplasia. The procedure is performed in the physician's office. Vaginal discharge is anticipated after the procedure. Perineal pads should be used to manage the discharge. The patient may experience some mild discomfort, for which an NSAID such as ibuprofen may be taken. Temperature elevations may signal the presence of an infection and must be reported to the physician. The patient does not need to avoid heavy lifting for weeks. Douching and tampons are to be avoided.

Answer to Question 2

Correct Answer: 3
When performing a laparoscopic surgery the physician uses carbon dioxide to raise the organs and improve visualization. This often results in shoulder discomfort during the postoperative period. The surgical table is not the most likely source of the patient's discomfort. The patient may not be sleeping well in the days after surgery, but this is not the most logical reason for the shoulder discomfort. The pain will subside, but this response does not address the educational needs of the patient.

[luminitza]

Correct answers!

[katara]

Great! Please up vote