After a total abdominal hysterectomy with bilateral salpingo-oophorectomy, the patient reports vaginal dryness. Which intervention should the nurse include?

• A. Use artificial lubrication to treat vaginal itching and dryness.
• B. Begin estrogen replacement therapy without medical approval.
• C. Apply scented lotions to the vaginal area.
• D. Avoid any vaginal products.

Answer: (A)

Loss of estrogen after removing the ovaries leads to vaginal atrophy with dryness and itching. The most appropriate nursing intervention is to use artificial lubricants. These non-hormonal products provide moisture and reduce friction, easing discomfort during daily activities and sexual activity without systemic effects or needing a physician’s order. Estrogen replacement requires medical assessment due to risks, so it isn’t something the nurse would initiate. Scented lotions can irritate the vaginal tissue, and avoiding vaginal products would not address the dryness.