A nurse is providing discharge teaching about lymphedema prevention to a client who is 2 days postoperative following a modified radical mastectomy. Which of the following instructions should the nurse include?

Apply lotion to the incisional site twice daily.

Avoid measuring blood pressure on the affected arm.

Apply deodorant under the affected arm daily.

Avoid lifting objects greater than 5.4 kg (12 lb).

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Applying lotion to the incisional site may not be recommended as it could potentially irritate the incision or interfere with wound healing.

Choice B rationale:

Avoiding blood pressure measurements on the affected arm is important to prevent compromising lymphatic flow and potentially exacerbating lymphedema, a common complication after a modified radical mastectomy.

Choice C rationale:

Applying deodorant under the affected arm is discouraged, as it may contain chemicals that could irritate the surgical area.

Choice D rationale:

While lifting heavy objects is generally discouraged after surgery, the specific weight mentioned (5.4 kg or 12 lb) is not consistently supported as a limitation in post- mastectomy care.

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Correct Answer is A

Explanation

Choice A rationale:

Poorly controlled blood sugar levels can lead to fetal overgrowth (macrosomia), which increases the risk of a large baby during delivery.

Choice B rationale:

High blood sugar levels after delivery are not specific to babies born to mothers with type 1 diabetes.

Choice C rationale:

Insulin dosage requirements often increase during the second and third trimesters due to insulin resistance, not decrease.

Choice D rationale:

The risk of ketoacidosis is not typically increased in the first trimester; rather, the focus is on controlling blood sugar levels to minimize risks to the developing fetus.

A. Increased serum amylase B. Increased C-reactive protein C. Decreased serum lipase D. Decreased platelets

Correct Answer is C

Explanation

Choice A rationale:

Increased serum amylase is a common finding in acute pancreatitis, and its decrease would be a positive sign. However, lipase is a more specific marker for pancreatic injury.

Choice B rationale:

Increased C-reactive protein is a marker of inflammation and would not necessarily indicate improvement in pancreatitis.

Choice C rationale:

Decreased serum lipase indicates improvement in the pancreatic injury and is a positive sign.

Choice D rationale:

Decreased platelets would not specifically indicate improvement in acute pancreatitis.

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A nurse is providing discharge teaching about lymphedema prevention to a client who is 2 days postoperative following a modified radical mastectomy. Which of the following instructions should the nurse include?

Nursing Test Bank

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