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

Answer and Explanation

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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Correct Answer is B

Explanation

Choice A: Cancer is not the correct answer because it is not the leading cause of death among women. According to the World Health Organization, cancer accounted for 15% of all deaths among women in 2019.

Choice B: Heart Disease is the correct answer because it is the leading cause of death among women worldwide. According to the World Health Organization, heart disease accounted for 21% of all deaths among women in 2019. Many women are unaware of the risk factors and symptoms of heart disease, and may not seek timely medical attention. Therefore, educational programs that raise awareness and promote the prevention of heart disease are a priority for women's health.

Choice C: Diabetes is not the correct answer because it is not the leading cause of death among women. According to the World Health Organization, diabetes accounted for 4% of all deaths among women in 2019. However, diabetes can increase the risk of developing other complications such as heart disease, kidney disease, and blindness. Therefore, educational programs that teach women how to manage their blood sugar levels and prevent complications are important for women's health.

Choice D: Smoking is not the correct answer because it is not a condition, but a risk factor for many diseases. Smoking can increase the risk of developing lung cancer, heart disease, stroke, and chronic obstructive pulmonary disease. Therefore, educational programs that help women quit smoking and avoid exposure to secondhand smoke are beneficial for women's health.

A. Increased vaginal discharge B. Urinary tract infection C. Vaginitis D. Vaginal ulceration

Correct Answer is D

Explanation

Choice A reason: Increased vaginal discharge is a normal and expected outcome of using a pessary, as it helps to lubricate and cleanse the vagina.

Choice B reason: Urinary tract infection is not a common side effect of using a pessary, as it does not interfere with urination or introduce bacteria into the urinary tract.

Choice C reason: Vaginitis is not a common side effect of using a pessary, as it does not cause inflammation or infection of the vagina. However, the client should maintain good hygiene and use vaginal cream or gel as prescribed to prevent irritation.

Choice D reason: Vaginal ulceration is a serious and possible side effect of using a pessary, as it can cause pressure necrosis and erosion of the vaginal mucosa. The client should report any bleeding, pain, or foul-smelling discharge to the provider and have the pessary removed and replaced regularly.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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