A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand?
Brushing her teeth
Buttoning her blouse
Eating her breakfast
Combing her hair
The Correct Answer is D
Choice A reason: Brushing teeth does not require much strength or range of motion in the hand, so it should not be very difficult for the client.
Choice B reason: Buttoning a blouse can be done with one hand or with the help of the other hand, so it should not be very difficult for the client.
Choice C reason: Eating breakfast can be done with the left hand or with utensils that are easy to hold, so it should not be very difficult for the client.
Choice D reason: Combing hair requires lifting the arm above the shoulder and moving the hand through the hair, which can be painful and challenging for the client who had a mastectomy and may have impaired lymphatic drainage and nerve damage in the right arm.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: Breast milk is not the correct answer because it is not a route of transmission for syphilis. Syphilis is caused by a bacterium called Treponema pallidum, which cannot survive in breast milk. However, breastfeeding mothers with syphilis should be treated with antibiotics to prevent other complications.
Choice B: The birth canal is not the correct answer because it is not a route of transmission for syphilis. Syphilis can be transmitted through sexual contact, but not through vaginal delivery. However, pregnant women with syphilis should be screened and treated before delivery to prevent congenital syphilis in their newborns.
Choice C: Amniotic fluid is not the correct answer because it is not a route of transmission for syphilis. Syphilis cannot cross the amniotic membrane, which protects the fetus from infections in the uterus. However, pregnant women with syphilis should be monitored for signs of fetal distress or premature rupture of membranes.
Choice D: Placenta is the correct answer because it is a route of transmission for syphilis. Syphilis can cross the placenta, which connects the mother and the fetus through blood vessels. This can result in congenital syphilis, which can cause serious problems such as stillbirth, miscarriage, low birth weight, deformities, or neurological damage in newborns.
Correct Answer is ["0.8"]
Explanation
- To find the amount of mL to administer per dose, we need to use a ratio and proportion method.
- We can set up a proportion as follows: 250 mg/2 mL = 100 mg/x mL
- To solve for x, we cross-multiply and get: 250x = 200
- Then we divide both sides by 250 and get: x = 200/250
- To simplify, we can reduce the fraction by dividing both the numerator and denominator by 50 and get: x = 4/5
- To convert the fraction to a decimal, we divide 4 by 5 and get: x = 0.8
- Therefore, the nurse should administer 0.8 mL of hydrocortisone per dose.
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