A client returns to the surgical unit following a right modified radical mastectomy with dissection of axillary lymph nodes. An appropriate nursing intervention in the postoperative care for the client includes:

changing the surgical dressing when it becomes saturated with drainage.

encouraging the client to obtain permanent breast prosthesis as soon as she is discharged from the hospital.

placing a limb alert bracelet on the right wrist as warning against blood pressure or venipunctures.

teaching the client to use the prescribed patient-controlled analgesia (PCA) every 20 mintues for the best pain relief.

Answer and Explanation

The Correct Answer is C

A.   While it's important to monitor the surgical dressing, changing it too frequently can increase the risk of infection and disrupt healing. Instead, nurses typically assess the dressing regularly and only change it if it's overly saturated or if ordered by a physician. It’s essential to follow specific protocols regarding dressing changes.
B.   A While breast prostheses can be an important part of post-mastectomy care for some clients, it is usually recommended that clients wait until they have fully healed and received counseling regarding their options. Immediate encouragement may be premature, as physical and emotional adjustments take time after surgery.
C.   This is an appropriate intervention. After axillary lymph node dissection, there is a risk of lymphedema in the affected arm. Placing a limb alert bracelet serves as a reminder to healthcare providers to avoid taking blood pressure or performing venipunctures on the affected arm, thus helping prevent complications.
D.   While PCA can be an effective method for managing postoperative pain, the timing and dosage should be based on the specific prescription and the client's individual needs. It’s crucial to educate the client about the PCA device and its use, but the specific interval may vary based on the medication's parameters and the patient's condition.

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Correct Answer is A

Explanation

A. This is a valid consideration. Patients receiving radioactive iodine may emit radiation, so placing them in a private room can help minimize exposure to family members and staff. Isolation may be more strictly enforced based on the dose administered and hospital protocols.
B. This is generally not required for radioactive iodine treatment. Patients are often advised to have a low-iodine diet in the weeks leading up to treatment, but complete fasting for 24 hours prior is not standard practice. Clear instructions from the healthcare provider should be followed regarding diet.
C. This is typically not a requirement. While some patients may be advised to avoid strenuous activities immediately after treatment, there is no strict guideline stating that all physical activity must be avoided for 72 hours. Patients are usually encouraged to follow normal activities while being mindful of minimizing close contact with others.
D. This statement is generally incorrect. While certain medications may need to be adjusted or stopped before radioactive iodine treatment (for instance, thyroid medications), it’s not a blanket recommendation to stop all medications for a week. Patients should consult with their healthcare provider for personalized advice regarding their specific medications.

A. Encourage the client to consider egg donation B. There should be no difficulty conceiving once the client is in full remission C. Encourage the couple to look into adoption once a cure is achieved D. The priority at this time is beginning treatment in the hope for an eventual cure

Correct Answer is A

Explanation

A. Egg donation involves collecting eggs from a woman before undergoing fertility-compromising treatments. These eggs can then be fertilized with sperm and frozen for future use. This allows couples to have biological children after completing cancer treatment.
B. There should be no difficulty conceiving once the client is in full remission. While it is possible for some women to conceive after completing treatment for ALL, the risk of fertility problems remains. Additionally, the time it takes to achieve full remission can vary, and there is no guarantee that fertility will return to normal.
C. Encourage the couple to look into adoption once a cure is achieved. While adoption is a viable option for couples who cannot have biological children, it is important to discuss all available options with the client and her husband before they make a decision.
D. The priority at this time is beginning treatment in the hope for an eventual cure. While it is important to prioritize the treatment of ALL, it is also important to address the couple's concerns about fertility. By discussing egg donation, the nurse can help the couple make informed decisions about their future.

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A client returns to the surgical unit following a right modified radical mastectomy with dissection of axillary lymph nodes. An appropriate nursing intervention in the postoperative care for the client includes:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should implement which safety considerations for a patient when administering oral iodine radioactive for thyroid cancer?

Correct Answer is A

Explanation

The nurse caring for a 27-year-old female client diagnosed with acute lymphoblastic leukemia (ALL). She and her husband are concerned about the ability to eventually have children. What should the nurse include in the discussion with this client and her husband?

Correct Answer is A

Explanation

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