A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand?
Brushing her teeth
Buttoning her blouse
Eating her breakfast
Combing her hair
The Correct Answer is D
Choice A reason: Brushing teeth does not require much strength or range of motion in the hand, so it should not be very difficult for the client.
Choice B reason: Buttoning a blouse can be done with one hand or with the help of the other hand, so it should not be very difficult for the client.
Choice C reason: Eating breakfast can be done with the left hand or with utensils that are easy to hold, so it should not be very difficult for the client.
Choice D reason: Combing hair requires lifting the arm above the shoulder and moving the hand through the hair, which can be painful and challenging for the client who had a mastectomy and may have impaired lymphatic drainage and nerve damage in the right arm.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: Sexual experience is not the correct answer because it is not related to female reproductive development. Sexual experience is a personal and subjective term that can vary depending on the individual's definition, values, and preferences. It has no biological or physiological significance for female reproductive development.
Choice B: Menstrual period is the correct answer because it is related to female reproductive development. The menstrual period is a cyclic phenomenon that occurs when the endometrium (the lining of the uterus) is shed along with blood and mucus through the vagina. It marks the onset of puberty and fertility in females. Menarche is the term used to describe the first menstrual period in a woman's life.
Choice C: Sign of breast development is not the correct answer because it is not related to female reproductive development. A sign of breast development is a physical change that occurs during puberty in females. It involves the growth and maturation of the mammary glands, which are responsible for producing milk during lactation. However, it does not indicate the start of menstruation or fertility in females.
Correct Answer is D
Explanation
Choice A: Menstrual is not the correct answer because it is the phase when estrogen levels are lowest. The menstrual phase occurs when the endometrium (the lining of the uterus) is shed along with blood and mucus through the vagina.
Choice B: Ischemic is not the correct answer because it is the phase when estrogen levels are decreasing. The ischemic phase occurs when the blood supply to the endometrium is reduced due to vasoconstriction (narrowing of blood vessels). This phase prepares the endometrium for shedding if fertilization does not occur.
Choice C: Secretory is not the correct answer because it is the phase when progesterone levels are highest. The secretory phase occurs when the endometrium becomes thick and spongy due to increased secretion of mucus and glycogen (a form of sugar). This phase provides a suitable environment for implantation if fertilization occurs.
Choice D: Proliferative is the correct answer because it is the phase when estrogen levels are highest. The proliferative phase occurs when the endometrium regenerates and grows due to increased stimulation by estrogen. This phase prepares the endometrium for implantation if fertilization occurs.

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