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The nurse is caring for a preoperative patient before hysterectomy surgery. The patient tells the nurse that she plans to have lots of children in the future and is glad that the surgery won't keep her from getting pregnant in the future. Which is the best action of the nurse?

User PThomasCS
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Final answer:

The nurse should provide sensitive and comprehensive education to the patient about the implications of hysterectomy on fertility, ensuring that the patient is fully informed and aware of the consequences of the surgery.

Step-by-step explanation:

The best action for the nurse in this scenario would be to provide patient education. It is important to correct the patient's misunderstanding as hysterectomy surgery involves the removal of the uterus, which means that after the procedure, the patient will no longer be able to conceive a child naturally. The nurse should approach the conversation with sensitivity and compassion, ensuring that the patient understands the implications of the surgery on future fertility.

The nurse should initiate this conversation as part of the preoperative care and ensure the patient's informed consent for the surgery. In cases where the patient expresses a desire for future children, options such as in vitro fertilization (IVF) should be discussed if viable eggs are available. The patient may also need to consider the use of gestational carriers if they wish to have biological children post-hysterectomy.

Preoperative Patient Education

The preoperative patient education would include informing the patient about the nature of the surgical procedure, its purpose, and the resulting permanent infertility. It would also involve discussing the patient's reproductive goals and exploring fertility preservation options or alternative family-building methods before proceeding with the surgery.

Team Coordination for Patient Care

Team coordination is essential in the surgical setting. The surgeon, nurse, and anesthesia professional should review aloud key concerns for the recovery and care of the patient, including confirmation of the patient’s identity, surgical site, and procedure, as well as any critical and unexpected steps. The team must ensure that the patient has a clear understanding of what the surgery entails and its consequences.

User Gagarwal
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