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GRCC PN 132 test1

GRCC PN132 Hysterectomy

QuestionAnswer
Reasons for hysterectomy CANCER OF THE UTERUS & LEIOMYOMAS
LEIOMYOMAS WHICH ARE NON-MALIGNANT FIRBROIDs OF THE UTERUS
What happens to the ovaries when premenopausal women have a hysterectomy? Ovaries are left in.
What is a total hysterectomy? Usually done on postmenopausal women; the uterus, fallopian tubes and ovaries are all removed.
How does hysterectomy procedure done? Vaginal approach with laparoscopic or through the abdomen
Hysterectomy done through the ab? total abdominal hysterectomy (TAH) with bilateral scalping oophrectomy (BAS) of the ovary and tubes.
Following surgery, what will pt be given? HRT : Hormone replacement therapy
Hysterectomy using the vaginal approach Laparoscopic visualization of the pelvic cavity.
VAGINAL BLDG; LESS THAN 1 PERI-PAD IN 4 HRS and should not be saturated Nursing care following an hysterectomy
ABDOMINAL BLDG; SM AMT IS NORMAL Nursing care following an hysterectomy
INTACTNESS OF INCISION - no foul odor. Nursing care following an hysterectomy
URINE OUTPUT Nursing care following an hysterectomy
PAIN Nursing care following an hysterectomy
PSYCHOLOGICAL ASSESSMENT Nursing care following an hysterectomy
What is the leading cause of a hysterectomy? D.U.B. (dysfunctional uterine bleeding)
What is DUB vaginal bleeding that is an abnormal amount, duration, or time of occurrence. It is usually related to hormonal imbalances or pelvic tumors, either benign or malignant.
What interventions would physicians chose before they proceed with a hysterectomy? They would begin with therapeutic dilation and curettage (D&C)where the uterine wall is scraped, then endometrial ablation (to remove (ablate) or destroy the endometrial lining of a woman's uterus), then hysterectomy.
What are risks of a hysterectomy? A DVT or PE. Nurses should encourage leg exercises and early ambulation to promote venous return; advise to stop smoking.
DVT Symptoms Leg or calf pain, swelling of one leg, chest pain or difficulty breathing.
Priority of nursing care Help with client deal with the psychologic and emotional effects of DUB & its treatment (is the highest nursing care priority.
PARALYTIC ILEUS Complications of hysterectomy surgery
ATELECTASIS Complications of hysterectomy surgery
PNEUMONIA Complications of hysterectomy surgery
WOUND DEHISCENCE Complications of hysterectomy surgery
URINARY RETENTION- abdominal/vaginal Complications of hysterectomy surgery
HEMORRHAGE Complications of hysterectomy surgery
URINARY RETENTION Complications of hysterectomy surgery
URINARY INFECTION Complications of hysterectomy surgery
WOUND INFECTION Complications of hysterectomy surgery
Urinary retention and potential for hemorrhage Nursing dgx for hysterectomy
Created by: Wends1984
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