A nurse is planning teaching for a client following a total abdominal hysterectomy.Which of the following expected manifestations should the nurse include in the teaching?
Weight loss
Increased libido
Decreased menstrual bleeding
vaginal dryness
The Correct Answer is D
Choice A rationale:
Weight loss is not typically an expected manifestation following a total abdominal hysterectomy.
Choice B rationale:
Increased libido is not necessarily an expected manifestation following a total abdominal hysterectomy.
Choice C rationale:
Decreased menstrual bleeding is expected, as the uterus has been removed.
Choice D rationale:
Vaginal dryness is an expected manifestation following a total abdominal hysterectomy due to the removal of the ovaries, which produce hormones that contribute to vaginal lubrication.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Increased serum amylase is a common finding in acute pancreatitis, and its decrease would be a positive sign. However, lipase is a more specific marker for pancreatic injury.
Choice B rationale:
Increased C-reactive protein is a marker of inflammation and would not necessarily indicate improvement in pancreatitis.
Choice C rationale:
Decreased serum lipase indicates improvement in the pancreatic injury and is a positive sign.
Choice D rationale:
Decreased platelets would not specifically indicate improvement in acute pancreatitis.
Correct Answer is D
Explanation
Choice A rationale:
A blood pressure of 78/60 mm Hg is indicative of hypotension which is a common complication of anorexia nervosa. However. the low body temperature takes precedence
Choice B rationale:
Weight loss of 20% over the last 6 months is concerning but may not be an immediate indicator for acute care admission.
Choice C rationale:
An apical pulse rate of 50/min is bradycardia, which can be a result of anorexia nervosa, but it may not be an immediate indicator for acute care admission unless the client is symptomatic.
Choice D rationale:
A body temperature of 35.5°C (95.9°F) is below a normal range signfyng hypothermia which needs immedate intervention.
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