Preoperative education for a hysterectomy: which topic should the nurse include?

• A. The bladder must be emptied prior to surgery and a catheter may be placed
• B. Menstrual periods will continue to occur for several months, some of them heavy.
• C. After a hysterectomy, hormone levels remain largely unaffected.
• D. Normal activity will be permitted within 48 hours following surgery

Answer: (A)

Preparing for a hysterectomy includes guidance on urinary management because the bladder sits in close proximity to the surgical field. Emptying the bladder before surgery helps create a clearer operative view and reduces the risk of bladder injury. A catheter may be placed to keep the bladder drained during the procedure and to monitor urine output afterward, supporting safer anesthesia and recovery.

Understanding the other points helps put this into context: removing the uterus stops menstrual periods, though hormonal effects depend on whether the ovaries are removed; and activity is usually limited after surgery, with a gradual return rather than resuming normal activity within two days.