A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A: Fluid balance is not the most likely priority because it is not directly affected by the mastectomy. Fluid balance is the state of equilibrium between the intake and output of fluids in the body. It can be influenced by various factors such as hydration, nutrition, medication, or illness. It can be monitored by measuring vital signs, weight, urine output, or laboratory values. Fluid balance is important for maintaining homeostasis and preventing dehydration or edema, but it is not a specific concern for a client undergoing a mastectomy.

Choice B: Body image is the most likely priority because it is directly affected by the mastectomy. Body image is the perception and attitude that one has toward one's own physical appearance and function. It can be influenced by various factors such as culture, media, self-esteem, or feedback from others. It can be assessed by observing verbal and nonverbal cues, asking open-ended questions, or using standardized tools. Body image is a major psychosocial issue for a client undergoing a mastectomy, as it can affect one's sense of identity, femininity, sexuality, or attractiveness. The nurse should address body image by providing information, support, and referral to appropriate resources.

Choice C: Urinary elimination is not the most likely priority because it is not directly affected by the mastectomy. Urinary elimination is the process of expelling urine from the bladder through the urethra. It can be influenced by various factors such as fluid intake, kidney function, medication, or infection. It can be assessed by measuring urine volume, color, odor, or specific gravity. Urinary elimination is important for maintaining fluid balance and preventing urinary tract infection or retention, but it is not a specific concern for a client undergoing a mastectomy.

Choice D: Activity is not the most likely priority because it is not directly affected by the mastectomy. Activity is the level of physical movement and exercise that one engages in on a daily basis. It can be influenced by various factors such as age, health status, motivation, or environment. It can be assessed by observing mobility, endurance, strength, or coordination. Activity is important for maintaining muscle tone, joint range of motion, circulation, or metabolism, but it is not a specific concern for a client undergoing a mastectomy.

Choice A: Rectal incontinence is not the correct answer because it is not a disorder related to pelvic organ prolapse. Rectal incontinence is a condition that causes loss of control over bowel movements, resulting in leakage of stool or gas. It can be caused by various factors, such as nerve damage, muscle weakness, or diarrhea.

Choice B: Rectocele is the correct answer because it is a disorder related to pelvic organ prolapse. Rectocele is a condition that occurs when the rectum bulges into the vagina due to weakening of the pelvic floor muscles and connective tissue. It can cause symptoms such as constipation, difficulty emptying the bowel, or a feeling of pressure or fullness in the vagina.

Choice C: Urinary incontinence is the correct answer because it is a disorder related to pelvic organ prolapse. Urinary incontinence is a condition that causes loss of control over urination, resulting in leakage of urine or urgency to urinate. It can be caused by various factors, such as stress, urge, overflow, or mixed types of incontinence.

Choice D: Cystocele is the correct answer because it is a disorder related to pelvic organ prolapse. Cystocele is a condition that occurs when the bladder bulges into the vagina due to weakening of the pelvic floor muscles and connective tissue. It can cause symptoms such as frequent urination, difficulty emptying the bladder, or a feeling of pressure or fullness in the vagina.

Choice E: Enterocele is the correct answer because it is a disorder related to pelvic organ prolapse. Enterocele is a condition that occurs when the small intestine bulges into the vagina due to weakening of the pelvic floor muscles and connective tissue. It can cause symptoms such as lower back pain, pelvic pressure, or difficulty having bowel movements.