The client has undergone a wedge resection for cancer of the left breast. Which discharge instruction should the nurse teach?
Maintain the left arm in a dependent position.
Teach the client how to cut cuticles
The cancer has been totally removed, and no follow-up therapy will be required.
Don't lift more than five (5) pounds with the left hand until released by the HCP
The Correct Answer is D
Rationale:
A. The affected arm should be elevated, not kept dependent, to reduce swelling and prevent lymphedema.
B. Clients should be taught NOT to cut cuticles to avoid infections, especially after breast surgery.
C. Follow-up therapy (e.g., radiation, chemotherapy) may still be needed depending on pathology results; clients should be advised to continue regular follow-up.
D. Avoiding lifting heavy objects (more than 5 pounds) with the affected arm until cleared by the healthcare provider helps prevent strain and lymphedema. This is important discharge teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. While pain assessment is important, nausea and vomiting post-hysterectomy may indicate gastrointestinal issues that need immediate evaluation.
B. Assessing bowel sounds and asking about flatus helps determine if the gastrointestinal tract is functioning properly, which is critical before advancing diet or administering medications. This should be the first action.
C. Changing the diet to clear liquids may be appropriate but only after assessing GI status.
D. Administering an antiemetic can help symptoms but should follow assessment to rule out underlying issues such as ileus or obstruction.
Correct Answer is C
Explanation
Rationale:
A. While rest is beneficial during acute gout attacks, it is not a specific lifestyle modification to control the disease long-term.
B. Sunlight exposure is not directly linked to gout flare-ups or management, unlike in conditions like lupus.
C. Alcohol, particularly beer and spirits, increases uric acid levels and can trigger gout attacks. Restricting alcohol intake is a key lifestyle recommendation to help manage gout.
D. Smoking cessation is generally beneficial for overall health, but it does not have a direct link to controlling gout symptoms.
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