A woman with suspected ovarian torsion suddenly develops severe unilateral lower abdominal pain, nausea and vomiting. Which action should the nurse take first?
Correct answer: C. Keep her nil by mouth and notify the gynaecology team
- A. Apply a warm compress to the lower abdomen
- B. Encourage oral fluids and observe her response
- C. Keep her nil by mouth and notify the gynaecology team
- D. Provide a high-fibre meal to prevent constipation
Explanation
Ovarian torsion can compromise blood flow and usually requires urgent surgical assessment. Keeping the patient nil by mouth prepares her for possible anaesthesia, while heat, food and observation can delay definitive care.
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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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