. June Brite, 35 years of age, is admitted to the medical-surgical unit after a Vaginal...

. 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?

c. What discharge instructions should the nurse provide the patient?

Solutions

Expert Solution

Vaginal hysterectomy with bilateral salpingo-oophorectomy means a surgical method of removing the entire uterus with both fallopian tubes and both ovaries.

a)As a result of this surgery the patient can be saved from metastasis of the cancer cells to other parts.

There will be menopause, hormone related problems, infections, blood clots in legs and lungs,sterility, insomnia,mood changes,UTI, urinary incontinence, nerve damage, bowel obstruction, hernia scar tissue

Treatment:

Antibiotics for prescribed period as advised by surgeon

Analgesic to control pain

Hormonal therapy strictly as per the advice of doctor

b)The following nursing care has to be given as soon as she arrives to the medical surgical unit

Monitoring vital signs
Administration of medication as per order
Keeping nil by mouth till bowel movements starts then to start clear liquid gradually increasing to solid diet
Monitoring vaginal discharge
Positioning
Oxygen if needed via nasal cannula
Mobilization of patient as per advice
Psychological support
Divertional therapy for pain
Securing drain at right place

c)The following discharge information has to be given

Can keep a care taker for a short time
Follow up with doctor at 2 nd week and after 4-6 weeks
Report any side effects
No weight lifting
Use sanitary napkins
No tampoon or douching
Resume shower however keep wound dry
Maintain good personal hygiene
Avoid strenuous exercise
Minimal household chores can be done

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

Michelle Chaney, age 20, is admitted to the medical-surgical unit with a diagnosis of idiopathic thrombocytopenia...

Michelle Chaney, age 20, is admitted to the medical-surgical unit with a diagnosis of idiopathic thrombocytopenia purpura (ITP). A college student, she noted bruising on her body and excessive bleeding when brushing her teeth and went to the college health nurse. The nurse referred her to a healthcare provider, who assessed her laboratory data and made the initial diagnosis of idiopathic thrombocytopenia purpura (ITP). Michelle is 5 feet, 2 inches tall, and weighs 118 pounds. Her vital signs are T...

Harry Smith, 70 years of age, is a male patient who is admitted to the medical-surgical...

Harry Smith, 70 years of age, is a male patient who is admitted to the medical-surgical unit with acute community-acquired pneumonia. He was diagnosed with paraseptal emphysema 3 years ago. The patient smoked cigarettes one pack per day for 55 years and quit 3 years ago. The patient has a history of hypertension, and diabetes controlled with oral diabetic agents. The patient presents with confusion as to time and place. The family stated that this is a new change for...

Rita Schmidt, 74 years age, is a female patient who was admitted to the surgical unit...

Rita Schmidt, 74 years age, is a female patient who was admitted to the surgical unit after undergoing removal of a section of the colon for colorectal cancer. The patient does not have a colostomy. The patient has several small abdominal incisions and a clear dressing over each site. The incisions are well approximated and the staples are dry and intact. There’s a Jackson-Pratt drain intact with minimal serious sanguineous drainage present. The patient has a Salem sump tube connected...

b?Harri smith,70 years of age, is a male patientwho is admittedto the medical-surgical unit with acute...

b?Harri smith,70 years of age, is a male patientwho is admittedto the medical-surgical unit with acute community-acquired pneumonia.He was diagnosed with paraseptal emphysema 3 years ago.The patient smoked cigarettes onepack per day for 55 years and quite 3 years ago.The patient has a history of hypertension, and diabetes controlled with oral diabetic? agents.The patient presents with confusion asto time and place.The family stated that this is a new change for the patient.The admission vital signs are as follows: blood pressure...

Joan Wright is an 84 year old female admitted to the medical surgical unit via the...

Joan Wright is an 84 year old female admitted to the medical surgical unit via the emergency department with complaints of persistent pain in lower back and hips after sitting down abruptly on the toilet. The client has a history of rheumatoid arthritis treated with steroids since 2001, diabetes mellitus type 2, hypertension, heart failure, COPD, peripheral artery disease, hypothyroidism, and depression since death of spouse 2011. The client’s daughter reports over the past year the client has been repeatedly...

Melvin Fuller is a patient on the medical-surgical unit who was admitted during the previous evening...

Melvin Fuller is a patient on the medical-surgical unit who was admitted during the previous evening for exacerbation of chronic obstructive pulmonary disease (COPD). He is an 83-year-old widower with two children who both live an hour away. He lives in a small house and is independent in his care. He has a housekeeper who comes in once a week to clean and fix some meals for him. He was brought to the hospital by his son who was visiting....

Catherine Colonic, 74 years of age, is a male patient who was admitted to the surgical...

Catherine Colonic, 74 years of age, is a male patient who was admitted to the surgical unit after undergoing a laparascopic right hemicolectomy. The patient has several small abdominal incisions and a clear dressing over each site. The incisions are well approximated and the staples are dry and intact. There is a Jackson-Pratt drain intact with minimal serous sanguineous drainage present. The patient has a Salem sump tube connected to low continuous wall suction that is draining a small amount...

Rita Schmidt, 74 years of age, is a female patient who was admitted to the surgical...

Rita Schmidt, 74 years of age, is a female patient who was admitted to the surgical unit after undergoing removal of a section of the colon for colorectal cancer. The patient has a colostomy on her left (descending colon) abdomen. The patient has several small abdominal incisions and a clear dressing over each site. The incisions are well approximated and the staples are dry and intact. There is a Jackson--Pratt drain intact with minimal serous sanguineous drainage present. The colostomy...

Rita Schmidt, 74 years of age, is a female patient who was admitted to the surgical...

Rita Schmidt, 74 years of age, is a female patient who was admitted to the surgical unit after undergoing removal of a section of the colon for colorectal cancer. The patient does not have a colostomy. The patient has several small abdominal incisions and a clear dressing over each site. The incisions are well approximated and the staples are dry and intact. There is a Jackson-Pratt drain intact with minimal serous sanguineous drainage present. The patient has a Salem sump...

PANCREATITIS, A 44 year old male patient has been admitted to the medical surgical unit of...

PANCREATITIS, A 44 year old male patient has been admitted to the medical surgical unit of the hospital for after seeking treatment for nausea, vomiting, and intense pain in the right upper quadrant the evening before and waited for a few hours before seeking treatment. He has a history of substance abuse and has been in rehabilitation for both alcoho and methamphetamines, despite previous. Following diagnosis and continued administration of the pain medication, the patient still complaing of pain. the...

Subjects