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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.5"]
Explanation
Calculation:
Desired dose: 0.25 mg
Available concentration: 0.1 mg/mL
Volume to administer: Desired dose / Available concentration = 0.25 mg / 0.1 mg/mL = 2.5 mL.
Correct Answer is B
Explanation
A. P wave touching the T wave can indicate an issue but is less urgent than chest pain.
B. Midsternal chest pain could indicate myocardial ischemia or infarction, requiring immediate intervention.
C. Increased urine output is not an urgent concern in this context.
D. Mild orthostatic hypotension is not as urgent as chest pain.
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