The nurse is caring for a client who has just had a radical mastectomy and axillary node dissection. When
providing teaching to the client, which is the most appropriate?
Avoid exercise of the arm for the next 2 months.
Avoid exercise of the arm for the next 2 months.
Avoid lifting objects heavier than 10 pounds.
Use a sling until healing is complete
The Correct Answer is C
After a radical mastectomy and axillary node dissection, the client may experience swelling and discomfort in the affected arm, known as lymphedema. Lifting heavy objects with the affected arm can worsen the swelling and increase the risk of developing lymphedema. Therefore, it is important for the client to avoid lifting heavy objects with the affected arm and to limit activity that could cause strain or injury to the arm. However, gentle exercise and movement of the arm can help improve circulation and reduce the risk of lymphedema. Using a sling is not typically necessary after this type of surgery, and keeping cuticles clipped neatly is not directly related to post-operative care for a mastectomy and axillary node dissection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The contraceptive sponge is a barrier method of contraception that is inserted into the vagina before sexual intercourse. It contains spermicide and blocks the sperm from reaching the egg. The sponge must be left in place for at least 6 hours after intercourse before it is removed. Don't leave it in for more than a total of 30 hours.
a. "You can use this at any time, even when you are menstruating" is incorrect information because the contraceptive sponge should not be used during menstruation.
c. "You need to have the sponge fited before using it" is incorrect information because the contraceptive sponge is a one-size-fits-all device and does not require fitting.
d. "Clean the with mild soap and water after using it" is also incorrect information because the contraceptive sponge is a disposable device and should be discarded after use. It should not be reused or washed.
Correct Answer is C
Explanation
The current recommendation from the American Cancer Society is that women with an average risk of breast cancer should undergo annual mammography screening starting at age 45, although women may choose to start screening as early as age 40. Therefore, the nurse should recommend annual mammography screening starting at age 45. However, it is important to note that women with certain risk factors for breast cancer, such as a family history of the disease, may need to begin screening earlier or undergo additional screening tests. The nurse can provide more individualized recommendations based on each woman's specific risk factors.
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