A client is discharged to home after a modified radical mastectomy with two drainage tubes. Which statement by the client would indicate that further teaching is needed?
"I am glad that these tubes will fall out at home when I finally shower."
"I should measure the drainage each day to make sure it is less than an ounce (30 mL)."
"I should be careful how I lie in bed so that I will not kink the tubing."
"If there is a foul odor from the drainage, I will contact my primary health care provider."
The Correct Answer is A
A. This statement indicates that the client may not fully understand the care required for the drainage tubes. Drainage tubes typically do not "fall out" on their own; they need to be removed by a healthcare provider. The client should be instructed to care for the tubes, monitor drainage, and report any concerns to their healthcare provider.
B. It is appropriate to measure the drainage each day and report it if it exceeds the expected amount. This helps ensure that the surgical site is healing properly.
C. The client should be cautious with the positioning of the drainage tubes to avoid kinking or pulling, which could interfere with drainage and cause complications.
D. A foul odor from the drainage could indicate an infection, so it is appropriate for the client to contact their primary healthcare provider if this occurs.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increasing IV fluids would exacerbate the client's fluid overload and worsen heart failure symptoms.
B. Trendelenburg positioning is typically used for shock management, but this client’s fluid overload needs to be addressed first.
C. Monitoring is important but does not address the immediate need to manage fluid overload.
D. The client's elevated CVP, PAWP, and BNP levels indicate fluid overload and heart failure with reduced ejection fraction. The priority is to reduce fluid overload by administering IV diuretics, which will help reduce the pressure in the heart and lungs, improving oxygenation and decreasing the risk of pulmonary edema.
Correct Answer is B
Explanation
A. Lantus insulin does not directly affect potassium levels in the same way that digoxin does.
B. A potassium level of 3.0 mEq/L is low, and digoxin toxicity can occur when potassium levels are low, leading to an increased risk of arrhythmias. This requires immediate attention to avoid serious complications.
C. Metoprolol is a beta-blocker that does not directly cause hypokalemia and is less of an immediate concern.
D. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that could affect kidney function but does not directly impact potassium levels as significantly as digoxin.
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