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Author Question: A client has returned from the postanesthesia care unit after a vaginoplasty. What comfort measure ... (Read 81 times)

karateprodigy

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on: Jun 25, 2018
A client has returned from the postanesthesia care unit after a vaginoplasty. What comfort measure does the nurse provide for this client?
 
  a. Apply ice to the perineum.
  b. Elevate the legs on pillows.
  c. Position the client on the left side.
  d. Raise the head of the bed.

Question 2

A transgender client is taking transdermal estrogen (Climara). What assessment finding does the nurse report immediately to the provider?
 
  a. Breast tenderness
  b. Headaches
  c. Red, swollen calf
  d. Swollen ankles


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whitcassie

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
Ice is applied to the perineum to reduce pain and discomfort. Elevating the legs on pillows is not recommended after a lengthy procedure in the lithotomy position, which predisposes the client to venous thromboembolism. Positioning the client on the left side and raising the head of the bed are not comfort measures related to this procedure.

Answer to Question 2

ANS: C
A red, swollen calf could be a manifestation of a deep vein thrombosis, a known side effect of estrogen. The nurse reports this finding immediately. The other manifestations are also side effects of estrogen, but do not need to be reported as a priority.


karateprodigy

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Reply 2 on: Jun 25, 2018
Excellent

JCABRERA33

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Reply 3 on: Yesterday
Gracias!

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