The nurse is providing care for a patient who had a mastectomy for breast cancer 2 days ago. What should the nurse include in the daily care?
Empty the drain device every shift.
Minimize use of the affected arm.
Measure the circumference of both arms.
Place the affected arm below the level of the heart.
The Correct Answer is A
Choice A reason: Emptying the drain device every shift is important to prevent infection and accumulation of fluid, which can impede healing.
Choice B reason: Minimizing use of the affected arm is not recommended; rather, gentle exercises to promote circulation and prevent lymphedema are usually encouraged.
Choice C reason: Measuring the circumference of both arms can be part of monitoring for lymphedema, but it is not the priority in immediate post-mastectomy care.
Choice D reason: Placing the affected arm below the level of the heart is not recommended as it can increase swelling; elevation is usually advised.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Choice A reason: Agoraphobia is a type of phobia characterized by a fear of being in situations where escape might be difficult or that help wouldn't be available if things go wrong.
Choice B reason: Aquaphobia is a specific fear of water and is not one of the main types of phobias identified by DSM-5.
Choice C reason: Acrophobia is a fear of heights, which is a specific phobia, but not one of the three main types identified by DSM-5.
Choice D reason: Specific Phobia is a type of anxiety disorder defined by a persistent and excessive fear of an object or situation.
Choice E reason: Social Phobia, also known as Social Anxiety Disorder, is characterized by a significant amount of fear in one or more social situations, causing considerable distress and impaired ability to function in at least some parts of daily life.
Correct Answer is D
Explanation
Choice A reason: Euphoria is not typically a defense mechanism; it's a feeling of intense excitement and happiness.
Choice B reason: Depression is a mental health condition, not a defense mechanism.
Choice C reason: Manipulation can be a behavior exhibited by individuals with certain personality disorders, but it is not considered a primary defense mechanism.
Choice D reason: Projection is a defense mechanism where individuals attribute their own unacceptable thoughts, feelings, and motives to another person.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.