Given the surgical procedures realized on the patient, the client's statement that indicates the need for further teaching is "I know I will miss having sexual intercourse with my husband."
What is endometrial cancer?
- Like all forms of cancer, it is a condition on which damaged cells reproduce at uncontrollable rates, damaging and affecting the function of all nearby tissues.
- This form of cancer is localized in the uterus, which often affects the surrounding organs such as fallopian tubes and ovaries.
What are the procedures realized?
- A total hysterectomy was the first of the procedures mentioned.
- This procedure involves an incision in the abdomen, through which the complete removal of the uterus is carried out.
- The following procedure is a bilateral salpingo-oophorectomy, which is the removal of the fallopian tubes and ovaries on both sides.
How the client misunderstood the consequences.
- The client misunderstood the consequences by being under the impression that her sex life would be affected by these procedures.
- The procedures do in fact affect the client's ability to carry a child, meaning they will cause infertility due to the absence of the upper reproductive organs.
- However, the lower reproductive organ is the only essential one for sexual intercourse, and as this organ was not affected, there is nothing to inhibit the act.
Therefore, we can confirm that the client requires further teaching when stating "I know I will miss having sexual intercourse with my husband." given that sexual activity is not dependant on the uterus or the other structures that were removed, and therefore is not affected by the procedure.
This answer was based on the complete question that states:
A 48-year-old client with endometrial cancer is being discharged after a total hysterectomy and bilateral salpingo-oophorectomy. Which client statement indicates that further teaching is needed?
"Well, I don't have to worry about getting pregnant anymore."
"I can't wait to go on the cruise that I have planned for this summer."
"I know I will miss having sexual intercourse with my husband."
"I have asked my daughter to stay with me next week after I am discharged."
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