Author Question: A 63-year-old woman undergoes an anterior and posterior (A&P) colporrhaphy for repair of a ... (Read 39 times)

123654777 · **on:** Jun 25, 2018

A 63-year-old woman undergoes an anterior and posterior (A&P) colporrhaphy for repair of a cystocele and rectocele. Which nursing action will be included in the postoperative care plan?

a. Encourage a high-fiber diet.
b. Perform indwelling catheter care.
c. Repack the vagina with gauze daily.
d. Teach the patient to insert a pessary.

Question 2

A 54-year-old patient is on the surgical unit after a radical abdominal hysterectomy. Which finding is most important to report to the health care provider?

a. Urine output of 125 mL in the first 8 hours after surgery
b. Decreased bowel sounds in all four abdominal quadrants
c. One-inch area of bloody drainage on the abdominal dressing
d. Complaints of abdominal pain at the incision site with coughing

amit · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The patient will have a retention catheter for several days after surgery to keep the bladder empty and decrease strain on the suture. A pessary will not be needed after the surgery. Vaginal wound packing is not usually used after an A&P repair. A low-residue diet will be ordered after posterior colporrhaphy.

Answer to Question 2

ANS: A
The decreased urine output indicates possible low blood volume and further assessment is needed to assess for possible internal bleeding. Decreased bowel sounds, minor drainage on the dressing, and abdominal pain with coughing are expected after this surgery.