What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?
Venipuncture for blood work should be performed on the affected arm.
The blood pressure (BP) cuff should not be applied to the affected arm.
The affected arm should be held down close to the woman's side.
The affected arm should be used for intravenous (IV) therapy.
The affected arm should be used for intravenous (IV) therapy.
The Correct Answer is B
Choice A reason: This is incorrect because venipuncture for blood work should be avoided on the affected arm. The mastectomy may have involved the removal of lymph nodes, which can impair the lymphatic drainage and increase the risk of lymphedema (swelling) in the arm. Venipuncture can cause further damage or infection to the arm.
Choice B reason: This is correct because the BP cuff should not be applied to the affected arm. The BP cuff can exert pressure on the arm and interfere with the blood and lymph flow. This can also increase the risk of lymphedema or pain in the arm.
Choice C reason: This is incorrect because the affected arm should not be held down close to the woman's side. The woman should be encouraged to elevate the arm above the level of the heart and perform gentle exercises to promote circulation and prevent stiffness. The arm should not be immobilized or restricted.
Choice D reason: This is incorrect because the affected arm should not be used for IV therapy. IV therapy can introduce fluids or medications into the arm that can affect the blood and lymph flow. It can also cause irritation or infection to the arm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Cheese is a good source of calcium, protein, and vitamin B12, but not folates. Folate is a water-soluble vitamin that is essential for the synthesis of DNA and the prevention of neural tube defects in the fetus.
Choice B reason: Potatoes are a good source of carbohydrates, potassium, and vitamin C, but not folates. Folate is found mainly in plant-based foods, especially dark green vegetables.
Choice C reason: Chicken is a good source of protein, iron, and zinc, but not folates. Folate is more abundant in legumes, nuts, and seeds than in animal products.
Choice D reason: Green leafy vegetables are a good source of folates, as well as vitamin A, vitamin K, and fiber. Folate is also known as folic acid when it is added to fortified foods or supplements. Pregnant women need at least 600 micrograms of folate per day.
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: Abstinence is the avoidance of sexual activity, which reduces the risk of exposure to STIs. It is not a sexual risk behavior.
Choice B reason: Multiple sex partners increases the likelihood of exposure to STIs, especially if the partners are not tested or treated. It is a sexual risk behavior.
Choice C reason: Unprotected anal intercourse exposes the mucous membranes of the rectum and anus to potential pathogens, which can cause STIs such as gonorrhea, chlamydia, syphilis, and HIV. It is a sexual risk behavior.
Choice D reason: Oral sex involves contact between the mouth and the genitals or anus, which can transmit STIs such as herpes, HPV, gonorrhea, and syphilis. It is a sexual risk behavior.
Choice E reason: Dry kissing is the contact between the lips without the exchange of saliva, which does not transmit STIs. It is not a sexual risk behavior.
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