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    Ati nurs 130 med surg proctored exam

    A nurse is providing teaching to a client who has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for uterine cancer. Which of the following instructions should the nurse include in the teaching?

    Explanation & Rationale

    A. Artificial lubrication can help manage vaginal dryness and discomfort, which often occur after removal of the ovaries due to decreased estrogen levels. It is a safe and effective non-hormonal intervention for improving comfort during sexual activity or daily activities. B. Pap tests are not needed after a total hysterectomy that includes removal of the cervix unless there is a history of high-grade cervical dysplasia or cancer. Routine Pap testing every 6 months is unnecessary. C. Resuming sexual intercourse in 2 to 3 weeks is premature. Most healthcare providers recommend waiting 4 to 6 weeks postoperatively to allow proper healing of the vaginal cuff and abdominal incision. D. Increased vaginal drainage is not typical at 5 days post-surgery. Some vaginal spotting or serosanguinous discharge may occur, but any unusual or heavy drainage should be evaluated for infection or complications.

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