The nurse is caring for a group of breast cancer survivors postmastectomy. When developing a list of instructions of points to avoid, which point is highlighted?

Arm exercises on affected side.

Wearing loose fitting shirts.

No lifting greater than 15 Ib.

Applying cream to breast.

Answer and Explanation

The Correct Answer is A

Arm exercises on the affected side. Patients postmastectomy should avoid arm exercises on the affected side, especially if lymph nodes were removed, to prevent lymphedema. Wearing compression garments can also be helpful.

B: This option is correct and should be encouraged as it allows for easier movement of the arms.

C: This option is correct, but it does not address the specific needs of patients postmastectomy.

D: Applying cream to the breast is not necessarily contraindicated, but patients should be cautious about using any products that could irritate or damage the skin.

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Correct Answer is B

Explanation

Abandon biases that older adults are sexually inactive. Older adults are sexually active and at risk for sexually transmitted infections (STIs). The nurse should not make assumptions about the client's sexual activity based on age.

Option A, older clients who are sexually active have less risk for STIs than other age groups, is incorrect because older adults are at risk for STIs. Option C, older clients know the ways to prevent STIs, may not always be accurate.

Option D, older clients, because of their maturity, are rarely embarrassed to talk about it, is a generalization and may not be true for all older clients.

A. The client will maintain a low-residue diet. B. Sips of fluid may be increased if tolerated. C. An enema will be used to clear the bowel. D. The stools may be white or clay-colored.

Correct Answer is B

Explanation

Sips of fluid may be increased if tolerated. After a barium enema, the client may be allowed to increase fluid intake to help eliminate the barium and prevent constipation.

Option A: The client will maintain a low-residue diet is not a correct answer as it is not necessary after a barium enema.

Option C: An enema will be used to clear the bowel is not a correct answer as the barium enema is itself a type of enema used to visualize the colon.

Option D: The stools may be white or clay-colored is not a correct answer as it is a potential side effect of barium use, not an instruction to the client.

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The nurse is caring for a group of breast cancer survivors postmastectomy. When developing a list of instructions of points to avoid, which point is highlighted?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection (STI)?

Correct Answer is B

Explanation

Which nursing instruction is correct to provide the client following a barium enema?

Correct Answer is B

Explanation

The nurse is caring for a client who has had a fracture reduction using a cast. Which of the following would be most important for the nurse to assess before and after the cast application?

Which technique would be most beneficial for ambulation of a client who is visually impaired?

The nurse is caring for clients with spinal deformities. Which type of deformity would have the most significant consequences on the respiratory system?

The nurse is providing patient education for a client who is going to have an ostomy created due to chronic Crohn's disease. The nurse has decided that pre- operative education is successful when the client states:. (select all that apply).

A client is suspected of having acromegaly. What definitive diagnostic testing is the most reliable for confirming acromegaly?

A suspicious breast lump is noted on a mammogram. The client asks the nurse which diagnostic test confirms if the lump is cancerous or benign. Which response by the nurse is most correct?

An older adult male client is participating in a bladder retraining program as part of the treatment for urinary incontinence. The nurse advises him to wear barrier garments, such as liners and protective pants. Which suggestion would be most appropriate to help the client maintain skin integrity?

The nurse is caring for a client experiencing hearing loss. The nurse uses the otoscope and notes a significant accumulation of cerumen. Which hearing loss type would be most accurate?