CMSRN Medical-Surgical Nursing

Category - Genitourinary

During discharge teaching with a client following abdominal hysterectomy, the nurse should include the following instruction:
  1. Avoid sitting for a long period of time
  2. Evacuate bowels daily
  3. Restrict sexual activity for 6 months after hysterectomy
  4. Avoid all household chores for 2 months
Explanation
Answer - A - Sitting for long periods of time and wearing constrictive clothing tend to increase pelvic congestion. Daily bowel movements are not necessary as long as a normal pattern is achieved. It is important to reinforce the physician’s instructions that sexual activity may be resumed within a specific period of time, usually 6 to 8 weeks. Paced and gradual ambulation aids in increasing venous return and general strength. Complete avoidance of chores for 2 months is not necessary. Lifting of heavy objects, however, may injure the incision site and promote bleeding.
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