A nurse in a surgical clinic is providing teaching to a client who is scheduled for a modified radical mastectomy. Which of the following statements by the client indicates an understanding of the teaching?
"I will complete my arm exercises four times a day."
“I will have my drains removed 1 hour prior to going home."
“I can begin to drive 24 hours after surgery."
"I can shower within 48 hours of my surgery.”
The Correct Answer is A
A. "I will complete my arm exercises four times a day.": Performing arm and shoulder exercises after a modified radical mastectomy helps maintain range of motion, prevent stiffness, and reduce the risk of lymphedema. Regular exercises multiple times a day reflect proper understanding of postoperative rehabilitation.
B. “I will have my drains removed 1 hour prior to going home.": Drain removal is based on the volume of drainage and physician assessment, not a set time before discharge. Premature removal can increase the risk of fluid accumulation and infection.
C. “I can begin to drive 24 hours after surgery.": Driving is usually not recommended until the client has regained adequate strength, range of motion, and is off strong pain medications, typically several days postoperatively. Doing so within 24 hours can be unsafe.
D. "I can shower within 48 hours of my surgery.": Showering is usually delayed until drains are in place and the incision is sufficiently healed, often following specific surgeon instructions. Showering too early can disrupt wound healing and increase infection risk.
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Related Questions
Correct Answer is B
Explanation
A. "You will have a urine test for the herpes simplex virus": Routine prenatal screening does not include urine testing for herpes simplex virus. Testing for HSV is typically done based on symptoms or history, not as a standard prenatal test.
B. "You will have a rectovaginal culture to test for group B streptococcus.": Group B streptococcus screening is a standard prenatal test performed between 35 and 37 weeks of gestation using a rectovaginal swab. Identifying colonization allows for intrapartum antibiotic prophylaxis to prevent neonatal infection.
C. "You will have a urine test to check for toxoplasmosis": Routine urine testing does not screen for toxoplasmosis. Testing for toxoplasmosis is usually done via blood tests in women at high risk, not standard urine tests.
D. "You will undergo amniotic fluid sampling to test for cytomegalovirus.": Amniocentesis for cytomegalovirus is not part of routine prenatal care and is typically only performed if there is a known risk or suspected fetal infection. Standard prenatal tests focus on more common conditions.
Correct Answer is D
Explanation
A. Severe abdominal pain: Severe abdominal pain is more commonly associated with placental abruption, not placenta previa. In placenta previa, the placenta covers the cervical opening, which typically causes painless bleeding rather than significant abdominal discomfort.
B. Delayed menses: Delayed menses is not related to placenta previa. This condition occurs during pregnancy, after menses have already ceased, and does not influence menstrual timing.
C. Nausea: Nausea is a common symptom in early pregnancy due to hormonal changes but is not a characteristic finding of placenta previa. It does not help in diagnosing or identifying this placental complication.
D. Spotting: Spotting or painless vaginal bleeding, especially in the second or third trimester, is a hallmark sign of placenta previa. The bleeding occurs because the placenta partially or completely covers the cervical os, and it often requires careful monitoring and management to prevent maternal and fetal complications.
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