Author Question: A client has just returned from a total abdominal hysterectomy and needs postoperative nursing care. ... (Read 57 times)

sam.t96 · **on:** Jun 25, 2018

A client has just returned from a total abdominal hysterectomy and needs postoperative nursing care. What action can the nurse delegate to the unlicensed assistive personnel (UAP)?

a. Assess heart, lung, and bowel sounds.
b. Check the hemoglobin and hematocrit levels.
c. Evaluate the dressing for drainage.
d. Empty the urine from the urinary catheter bag.

Question 2

A 20-year-old client is interested in protection from the human papilloma virus (HPV) since she may become sexually active. Which response from the nurse is the most accurate?

a. You are too old to receive an HPV vaccine.
b. Either Gardasil or Cervarix can provide protection.
c. You will need to have three injections over a span of 1 year.
d. The most common side effect of the vaccine is itching at the injection site.

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

Answer to Question 1

ANS: D
The UAP is able to empty the urinary output from the catheter. The nurse would assess the heart, lung, and bowel sounds; check the hemoglobin and hematocrit levels; and evaluate the drainage on the dressing.

Answer to Question 2

ANS: B
Current HPV vaccines are Gardasil and Cervarix, which should be given before the first sexual contact to protect against the highest risk HPV types associated with cervical cancer. The client is not too old since it is recommended that young women up to 26 years should receive an HPV vaccine. The entire series consists of three injections over 6 months, not 1 year. Local pain and redness surrounding the injection site are very common, but this does not include itching.