The nurse caring for a patient who is scheduling a hysteroscopy with possible dilatation and curettage would include which of the following instructions in the patient teaching?
A)"Do not douche, use tampons, or apply any vaginal medications 24 hours prior to the procedure.
B)"The health-care provider will start an IV for fluids and sedation before the procedure."
C)"You must not have anything to eat or drink for 8 hours before the procedure."
D)"Heavy bleeding for 3 to 5 days is expected after the procedure."
E)"It is important that your bladder is full, so please do not void the morning of the procedure."

Question

Quizplus · Accepted Answer

A hysteroscopy with possible dilatation and curettage (D&C) is a procedure that requires specific pre-procedure preparations to ensure safety and effectiveness. Instruction A is correct because it helps prevent infection by keeping the vaginal area clean and free from foreign substances. Instruction B is accurate because IV fluids and sedation are commonly administered to ensure the patient's comfort and manage pain during the procedure. Instruction C is also correct because fasting reduces the risk of aspiration during sedation or anesthesia. Instructions D and E are not accurate; heavy bleeding for 3 to 5 days post-procedure is not expected (some spotting or light bleeding may occur, but heavy bleeding should be reported), and having a full bladder is not required for this procedure; in fact, an empty bladder may be necessary for the best visualization and comfort.

The Nurse Caring for a Patient Who Is Scheduling a Hysteroscopy