A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?
Vaginal intercourse can be resumed after 2 weeks.
Products of conception will be present in vaginal bleeding.
Increased intake of zinc-rich foods is recommended.
Aspirin may be taken for cramps.
The Correct Answer is A
Choice A: Vaginal intercourse can be resumed after 2 weeks.
Reason: After a dilation and curettage (D&C) procedure, it is generally recommended to avoid vaginal intercourse for about 2 weeks. This allows the cervix and uterus to heal and reduces the risk of infection. Engaging in sexual activity too soon can introduce bacteria into the uterus, which is particularly vulnerable following the procedure.
Choice B: Products of conception will be present in vaginal bleeding.
Reason: This statement is incorrect. After a D&C, the products of conception should have been removed during the procedure. While some bleeding is normal, it should not contain products of conception. Instead, the bleeding should be similar to a menstrual period.
Choice C: Increased intake of zinc-rich foods is recommended.
Reason: There is no specific recommendation for increasing zinc intake following a D&C. The focus is typically on general post-operative care, such as rest, hydration, and monitoring for signs of infection. While a balanced diet is always beneficial, there is no evidence suggesting that zinc-rich foods are particularly necessary after this procedure.
Choice D: Aspirin may be taken for cramps.
Reason: This statement is incorrect. Aspirin is generally not recommended for pain relief after a D&C because it can increase the risk of bleeding. Instead, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are usually recommended for managing cramps and pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.8"]
Explanation
- To find the amount of mL to administer per dose, we need to use a ratio and proportion method.
- We can set up a proportion as follows: 250 mg/2 mL = 100 mg/x mL
- To solve for x, we cross-multiply and get: 250x = 200
- Then we divide both sides by 250 and get: x = 200/250
- To simplify, we can reduce the fraction by dividing both the numerator and denominator by 50 and get: x = 4/5
- To convert the fraction to a decimal, we divide 4 by 5 and get: x = 0.8
- Therefore, the nurse should administer 0.8 mL of hydrocortisone per dose.
Correct Answer is A
Explanation
Choice A: Vaginal intercourse can be resumed after 2 weeks.
Reason: After a dilation and curettage (D&C) procedure, it is generally recommended to avoid vaginal intercourse for about 2 weeks. This allows the cervix and uterus to heal and reduces the risk of infection. Engaging in sexual activity too soon can introduce bacteria into the uterus, which is particularly vulnerable following the procedure.
Choice B: Products of conception will be present in vaginal bleeding.
Reason: This statement is incorrect. After a D&C, the products of conception should have been removed during the procedure. While some bleeding is normal, it should not contain products of conception. Instead, the bleeding should be similar to a menstrual period.
Choice C: Increased intake of zinc-rich foods is recommended.
Reason: There is no specific recommendation for increasing zinc intake following a D&C. The focus is typically on general post-operative care, such as rest, hydration, and monitoring for signs of infection. While a balanced diet is always beneficial, there is no evidence suggesting that zinc-rich foods are particularly necessary after this procedure.
Choice D: Aspirin may be taken for cramps.
Reason: This statement is incorrect. Aspirin is generally not recommended for pain relief after a D&C because it can increase the risk of bleeding. Instead, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are usually recommended for managing cramps and pain.
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