Hysterectomy and Oophorectomy Assignment

Hysterectomy and Oophorectomy Assignment
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Hysterectomy and Oophorectomy Assignment
Uterine fibroids are commonly:
a associated with infertility
b_ painful
c composed of fibrous tissue
d_ premalignant
24 hours after her blood transfusion Mrs Caplin’s
haemoglobin level was 7.75 mmoll/litre. This result
indicates that she:
ais fit for surgery
b_ has a haemoglobin level within the normal range
c has a haemoglobin level above the normal range
d_ no longer has iron deficiency anaemia
Which discomfort is Mrs Caplin most likely to complain
of:
a menostasis
b_metrorrhagia
c¢ menorrhagia
d metrostaxis
Mrs Caplin enquires of the nurse why such extensive
surgery is necessary for fibroids. The most likely answer
is that:
a as she is nearly past childbearing age, her uterus will soon
atrophy and become more prone to disease
b_ fibroids tend to recur and a single operation will prevent
future problems
c being 38 years of age she can soon expect multiple
problems within the reproductive tract
d fibroids are premalignant, and it is better to remove
surrounding structures to prevent the spread of cancer cells
Gynaecology Case Histories
7.5 Which observations are most relevant to Mrs Caplin’s
postoperative care over an 8-day period:
a
b
fluid balance, temperature, pulse, respiration and blood
pressure
temperature, pulse, respiration, abdominal pain and vaginal
blood loss
daily urinalysis, temperature, fluid balance, and wound
healing
temperature, bowel function, vaginal blood loss and
mobility
7.6 The specific postoperative complications ascribed to
hysterectomy include: 1 urinary retention, 2 wound infection, 3 deep vein thrombosis, 4 abdominal distension,
5 chest infection:
a
b
c
d
1, 3 and 5
1,4 and 5
2, 4 and 5
1, 2 and 4
7.7 Despite prescribed penicillin Mrs Caplin developed a
pyrexia, i.e. 39.8°C and complained of dysuria after
her urinary catheter was removed. Which nursing
action is the most appropriate:
a collect a urine specimen for microscopy, inform the
surgeon, and encourage Mrs Caplin to drink 3 litres of clear
fluids per day
record the temperature 4-hourly, inform the surgeon, and
keep Mrs Caplin on bedrest
take a vaginal and wound swab for microscopy, check for
vaginal blood loss, and review prescribed medication
advise nursing colleagues of the need to be careful with
aseptic procedures, inform the Control of Infection Officer
and nurse Mrs Caplin in an isolation room
Hysterectomy and Oophorectomy 25
7.8 On regaining her strength and mobility in the
postoperative period Mrs Caplin should be advised that
she may:
a
b
c
d
experience slight vaginal discharge
have a minor urinary tract infection
suffer metrorrhagia
require a course of radiotherapy
7.9 Mrs Caplin asks the nurse for counselling on future sexual relationships with her husband. The principal
guideline that Mrs Caplin should follow is that:
a
b
she is free to make up her own mind as to when sexual
activity can recommence
it is sensible to defer sexual relationships until after the first
outpatient’s appointment
on medical grounds it is always advisable to wait for 3
months
she and her husband should make a joint decision on when
to resume sexual intercourse
7.10 Mrs Caplin should be warned to expect abrupt menopausal symptoms for some time after surgery. The
physiological reason for this is the absence of:
a
b
c
follicle stimulating hormone (FSH) and oestrogen
luteinising hormone (LH) and progesterone
follicle stimulating hormone and the presence of progesterone
oestrogen and the presence of follicle stimulating hormone
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