A nurse is providing postoperative care for a client who has undergone a right radical mastectomy. Which action should the nurse take to prevent lymphedema development?

Keep both arms below the client’s heart level.

Avoid range-of-motion exercises with the affected arm.

Use the client’s left arm to draw blood samples.

Obtain blood pressure readings using the client’s right arm.

Answer and Explanation

The Correct Answer is C

Choice C.

Choice A rationale

Keeping both arms below the heart level can actually increase the risk of lymphedema development. This position can lead to pooling of lymphatic fluid in the arm, which can exacerbate swelling.

Choice B rationale

Avoiding range-of-motion exercises with the affected arm is not recommended. Regular gentle exercises can help promote lymphatic drainage and prevent lymphedema.

Choice C rationale

Using the client’s left arm (the non-operated arm) to draw blood samples is a recommended practice. This reduces the risk of infection and injury to the right arm, which could potentially trigger or worsen lymphedema.

Choice D rationale

Obtaining blood pressure readings using the client’s right arm (the operated arm) is not recommended. The pressure exerted by the blood pressure cuff can obstruct lymphatic flow and contribute to lymphedema.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Obtaining an x-ray of the growth plate every 6 months is not a standard recommendation for preventing osteoporosis. Growth plates are only present in children and adolescents, and they close once a person reaches their full adult height.

Choice B rationale

Engaging in passive range-of-motion exercises is not typically recommended for preventing osteoporosis. Weight-bearing and resistance exercises are more beneficial for bone health.

Choice C rationale

Decreasing vitamin K in the diet is not recommended for preventing osteoporosis. Vitamin K is necessary for bone health, and a deficiency can actually increase the risk of osteoporosis.

Choice D rationale

Consuming vitamin D supplements daily is often recommended for preventing osteoporosis. Vitamin D is necessary for the body to absorb calcium, which is essential for bone health.

A. I experience incontinence whenever I take a diuretic. B. I leak urine when I sneeze. C. My bladder seems to empty without warning. D. I frequently experience dribbling of urine.

Correct Answer is D

Explanation

Choice A rationale

Experiencing incontinence whenever taking a diuretic may suggest a type of functional incontinence, where the incontinence is linked to the inability to reach a restroom due to the sudden urge to urinate caused by the diuretic23.

Choice B rationale

Leaking urine when sneezing is typically a symptom of stress incontinence, which occurs when pressure is placed on the bladder during physical movement or activity23.

Choice C rationale

A bladder that seems to empty without warning may suggest urge incontinence, which is characterized by a sudden, intense urge to urinate followed by an involuntary loss of urine23.

Choice D rationale

Frequently experiencing dribbling of urine is a common symptom of overflow incontinence, which occurs when the bladder doesn’t empty properly, leading to frequent or constant dribbling23.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing postoperative care for a client who has undergone a right radical mastectomy. Which action should the nurse take to prevent lymphedema development?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to an older adult patient about preventing osteoporosis. Which of the following recommendations should the nurse make?

Correct Answer is D

Explanation

An older adult client is suffering from urinary incontinence.Which statement from the client suggests they have overflow incontinence?

Correct Answer is D

Explanation

A nurse is caring for a client with Parkinson’s disease who has difficulty using utensils during meals. Which interdisciplinary team member should the nurse recommend for a referral?

A nurse is preparing to administer diphenhydramine 25 mg PO every 6 hours to an older adult patient who has rhinitis.The available medication is diphenhydramine syrup 12.5 mg/5 mL. How many mL should the nurse administer?

An older adult client with hypothyroidism has been prescribed levothyroxine. What instructions should the nurse provide?

A nurse is caring for a client with Parkinson’s disease who has difficulty using utensils during meals. Which interdisciplinary team member should the nurse recommend for a referral?

A nurse in a health clinic is collecting data from an older adult patient.Which piece of information in the patient’s history increases their risk for osteoporosis?

A nurse is assisting in the care plan for a patient with widespread herpes zoster lesions. What actions should the nurse include in the plan?

On Day 2 at 16:00, the client is kept NPO.An exploratory laparotomy is scheduled for tomorrow at 06:00. Metoclopramide 10 mg IV every 6 hours and Cefazolin 2g IV on call for surgery are ordered.Which of the following actions should the nurse assist with?