Before a hysterectomy for endometrial cancer, which intervention is standard for the client?

The standard intervention prior to a hysterectomy for endometrial cancer involves placing an indwelling urinary catheter. This is typically done to ensure the bladder is adequately drained and to prevent involuntary urination during and after the surgery. By doing so, it allows the surgical team to maintain a clear view of the surgical site and minimizes the risk of bladder injury during the procedure. Additionally, having a urinary catheter in place helps to ensure comfort and avoid the complications associated with urinary retention, which can be particularly relevant after pelvic surgery.

While other interventions may be considered in specific circumstances, they are not standard across the board for this particular type of surgery. Nasogastric tubes are often used for gastrointestinal decompression, which is not a routine requirement before this procedure. Vaginal packing is not typically applied prior to a hysterectomy; it may be used after certain types of gynecological procedures to manage bleeding but not as a preoperative measure. A Jackson-Pratt drain may be utilized postoperatively to collect excess fluids from the surgical site but is not a standard preoperative practice.

Thus, the use of an indwelling urinary catheter reflects best practice in ensuring patient safety and optimal conditions for the surgical team during a hysterectomy for