A 32-Year-Old Gravida 2 Para 2 Is Scheduled for a Hysteroscopy

Multiple Choice

A 32-year-old gravida 2 para 2 is scheduled for a hysteroscopy for heavy bleeding of 2 weeks duration and possible retrieval of a displaced intrauterine device (IUD) .She is tired and weak from blood loss and has marked anemia.During the vaginal prep,the perioperative nurse noted several large blood clots.The nurse communicated an estimated blood loss amount to the anesthesia provider and surgeon.After the patient was draped,the circulating nurse connected the hysteroscopic insufflator,pressure-infusion pump,and a video camera,light source,and monitor.The uterine cavity was distended with Ringer's Lactate at a continuous pressure through the hysteroscopic pump into the irrigating channel of the hysteroscope.The circulating nurse was relieved for lunch after she gave a hand-off report to her relief nurse.What patient safety information relevant to the hysteroscopy should be given to the receiving relief nurse before the circulating nurse leaves for lunch?

A) A review of the amount of hysteroscopy fluid infused and fluid received back
B) A reminder to monitor for discrepancies of 1 to 1.5 L
C) A reminder to monitor for signs of tachydysrhythmias
D) A review of current fluid loss calculations based on BMI