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 C
Explanation
This statement shows that the client understands the potential side effects of the treatment and knows to report any unusual symptoms to their healthcare provider. This is important because brachytherapy can cause vaginal bleeding, fever, or abdominal pain, which may be signs of infection or other complications.
Option a is partially correct, as it is important for clients undergoing active brachytherapy to restrict activity and avoid vigorous movements to prevent the dislodgement of radiation sources. However, this statement alone does not indicate that the client understands the potential complications or knows when to report them to the healthcare provider.
Option b is not directly related to the client's treatment or potential complications and does not indicate an understanding of the precautions and potential complications associated with active brachytherapy.
Option d is not necessarily required, as the client may not need to be in a private room during active brachytherapy. This option does not directly relate to the precautions or potential complications of the treatment.
Correct Answer is A
Explanation
Stage IV ovarian cancer is an advanced stage, and it is unlikely that the cancer can be cured. While treatment may help manage the symptoms and slow down the progression of the disease, it is essential to have realistic expectations and understand the limitations of treatment options.
Option b, "My type of cancer has spread to other tissues" is a correct understanding of the situation and indicates the client has understood their diagnosis.
Option c, "I have chemotherapy after my hysterectomy" is an accurate statement about treatment and indicates the client has understood the plan of care.
Option d, "I may need to talk with my family about hospice" is also an appropriate statement, as clients with stage IV ovarian cancer may need to consider end-of-life care and hospice services
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