A nurse is providing discharge teaching to a client following a modified left radical mastectomy with breast expander. Which of the following statements by the client indicates an understanding of the teaching?

"I should expect less than 25 mL of secretions per day in the drainage devices."

"I will perform strength-building arm exercises using a 15-pound weight."

"I will keep my left arm flexed at the elbow as much as possible."

"I will have to wait 2 months before additional saline can be added to my breast expander."

Answer and Explanation

The Correct Answer is A

A. Less than 25 mL of secretions per day in the drainage devices is an expected finding after surgery. The nurse should instruct the client to monitor the drainage and report if the output exceeds this amount, as it could indicate a complication.

B. Performing strength-building arm exercises using a 15-pound weight is not recommended immediately after surgery. The client should start with gentle range-of-motion exercises and gradually increase the intensity, but heavy weightlifting should be avoided in the early recovery period.

C. Keeping the left arm flexed at the elbow for prolonged periods is not recommended. The client should be encouraged to perform exercises to prevent stiffness and improve mobility in the affected arm, but excessive flexion can lead to contractures.

D. The client may begin the process of saline expansion in the breast expander soon after surgery, typically within a few weeks. Waiting 2 months may be too long, as expansion is often started earlier to avoid complications such as capsular contracture.

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Correct Answer is "{\"xRanges\":[53.828125,93.828125],\"yRanges\":[164,204]}"

Explanation

A. The stoma from a transverse colon resection with colostomy placement is typically located in the right iliac fossa, which is the lower right quadrant of the abdomen. This is where the transverse colon is most often brought to the surface for colostomy placement. It allows for easier access and drainage postoperatively.

B. The epigastric area, which is located above the umbilicus, is not a typical location for a colostomy stoma. This area is more commonly associated with upper abdominal organs such as the stomach and liver.

C. The left iliac fossa is generally where a descending or sigmoid colostomy would be placed, rather than a transverse colon resection. This location would be expected for colostomies created from the descending colon, not the transverse colon.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

Rationale:

The client is presenting with chest pain that radiates to the left arm, which is a critical symptom of a potential myocardial infarction (MI). Pain relief is the priority because it is a sign of acute distress and could indicate a life-threatening condition. Addressing the pain level first ensures that the client is more comfortable and allows for better monitoring of other symptoms.

After addressing pain, the nurse should then focus on the client's diaphoresis (excessive sweating), which is another sign of an acute myocardial event. Diaphoresis in the context of chest pain and shortness of breath is often associated with cardiovascular events and requires timely intervention. Managing these symptoms will help stabilize the client while further diagnostic and therapeutic measures are initiated.

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A nurse is providing discharge teaching to a client following a modified left radical mastectomy with breast expander. Which of the following statements by the client indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

Correct Answer is "{\"xRanges\":[53.828125,93.828125],\"yRanges\":[164,204]}"

Explanation

A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Exhibits Complete the following sentence by using the lists of options. The nurse should first address the client's dropdownfollowed by the client'sdropdown

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

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