Question

Case Study, Chapter 57, Management of Patients With Female Reproductive Disorders 1. June Brite, 35 years of age. is admitted to the medical-surgical unit after a vaginal hysterectomy with bilateral salpingo-oophorectomy for the treatment of uterine cancer (Learning Objective 7) a. What will occur as a result of this type of surgery and what are the treatment options? b. What nursing care should be provided for the patient as she arrives on the medical-surgical unit? What discharge instructions should the nurse provide the patient? c. 2. The Health Promotion nurse at a state university plans a series of educational programs focusing on female reproductive health issues for incoming first-year female students. Because cervical cancer is the third most common female reproductive cancer and affects over 10,000 women annually in the United States, the nurse has planned the first session to focus on cervical cancer screening and prevention. (Lcaming bjective6) What information should the nurse include about Pap smears? a. What clinical manifestations should the nurse include about cervical cancer? b. c. The nurse discusses other diagnostic tests used to diagnosc/stage cervical cancer. What information should she include in this portion of the educational program?

Answer 1

ANSWERS :

1. a. Vaginal hysterectomy surgery occurs by removing of uterus from the vaginal area where the supporting structures and blood vessels of uterus is separated before the removal of the uterus. In bilateral salphingo oophorectomy both the fallopian tubes and ovaries are removed in the surgery. The treatment options for vaginal hysterectomy and bilateral salphingo oophorectomy is the surgical treatment is the choice, where the blood vessels which supply blood to the uterus and supporting structures are detached and in some cases pelvic wash, biopsies are performed in the endometrial cancer and cancers of female reproductive system.

b. The nursing care after the surgery where the patient enters into the medical surgical unit are - Assess the vital signs of the patient, monitor for the signs of hemorrhage, maintain intake and output chart, monitor for the signs of infection in the vaginal area, assess for heavy bleeding, educate the patient to take more amount of oral fluids, provide perineal care, assess for bowel and bladder movements, provide complete rest to the patient.

c. At the time discharge of patient the nurse has to provide discharge instructions which are - bed rest for 3-4 days after the surgery, encourage to use sanitary pads to observe for heavy bleeding, educate to avoid the foods which cause constipation and gas formation to patient which can lead to tearing of sutures due to pressure, educate to drink more fluids, walking can be encouraged after 5-6 days after the surgery, do not encourage for heavy lifts and works, small household activities are encouraged, avoid sexual intercourse until the wound heals, if any discomfort, pain, complications arise immediately tell the patient to consult to the physician and follow up visits.