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 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
Correct Answer is A
Explanation
Breast self-examination is an essential part of breast cancer detection and should be performed regularly by all women, regardless of their medical history. While the client may have undergone a left modified radical mastectomy, this does not eliminate the possibility of developing breast cancer in the right breast or other parts of the body. Therefore, it is essential to continue performing breast self-examination regularly to detect any changes that may occur in the right breast.
Option b, "Is lucky that the cancer was caught in time" and option c, "should schedule a follow- up appointment in 6 months" may also be appropriate responses depending on the client's specific situation but option a is the most universally applicable response.
Option d, "I have irregular menses" is unrelated to the topic and does not address the client's
concern or needs.
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