A nurse is providing discharge teaching to a client who is 1 day postoperative following a right modified radical mastectomy. Which of the following instructions should the nurse include in the teaching?

Begin ball squeezing exercises.

Avoid using the affected arm for eating.

Use deodorant under the affected arm.

Wear a bra with wire support.

Answer and Explanation

The Correct Answer is A

A. This is the correct answer. Gentle hand exercises, such as ball squeezing, help promote circulation and prevent lymphedema in the affected arm.

B. Avoiding use of the affected arm for eating is incorrect. Gradual movement is encouraged to prevent stiffness and maintain mobility.

C. Using deodorant under the affected arm is not recommended until healing is complete, as it may cause irritation or infection.

D. A bra with wire support should be avoided initially due to discomfort and potential interference with healing.

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Correct Answer is A

Explanation

A. An albumin level of 2.2 g/dL is critically low (normal: 3.5–5.0 g/dL), indicating severe malnutrition, liver disease, or nephrotic syndrome. This requires immediate reporting for further assessment and intervention.

B. A total cholesterol level of 179 mg/dL is within the normal range (desirable: <200 mg/dL) and does not require reporting.

C. A total thyroxine (T4) level of 9 mcg/dL is within the normal range (4.6–11.2 mcg/dL) and does not indicate a nutritional issue.

D. A calcium level of 9.9 mg/dL is normal (8.5–10.5 mg/dL) and does not require immediate intervention.

A. Falls when throwing a ball overhand B. Goes up stairs with two feet on each step C. Runs with a wide stance D. Refers to self by name

Correct Answer is D

Explanation

A. It is expected for a 24-month-old to have some difficulty with coordination when throwing a ball.

B. Using both feet on each step when going upstairs is developmentally appropriate at this age.

C. Running with a wide stance is common in toddlers as they develop balance and coordination.

D. This is the correct answer. By 24 months, a toddler should begin using pronouns such as "I" or "me" instead of referring to themselves by name, indicating a possible language delay.

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A nurse is providing discharge teaching to a client who is 1 day postoperative following a right modified radical mastectomy. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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