A woman is recovering from laparoscopic treatment for an ovarian condition and reports pain at the shoulder tip. Which explanation should the nurse give?
Correct answer: A. Insufflated carbon dioxide can irritate the diaphragm
- A. Insufflated carbon dioxide can irritate the diaphragm
- B. The symptom proves that a pulmonary embolism has occurred
- C. The pain means that the urinary bladder was perforated
- D. The symptom is caused by excessive postoperative vaginal bleeding
Explanation
Residual carbon dioxide used during laparoscopy can irritate the diaphragm and cause referred shoulder pain. The nurse should still assess breathing and circulation, but shoulder-tip pain alone is a common postoperative effect.
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About Gynaecological Nursing
Gynaecological nursing covers assessment and care for menstrual disorders, vaginal infections, pelvic inflammatory disease, infertility, endometriosis, fibroids, uterine prolapse and reproductive tract cancers. It includes pelvic examination, specimen collection, preoperative and postoperative care, medication support, privacy and counselling, and distinguishes gynaecological conditions from normal pregnancy-related changes.
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