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.
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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Related Questions
Correct Answer is B
Explanation
A. "I can expect my eyelids to be bruised after this procedure." – Bruising of the eyelids is not a typical postoperative effect of cataract surgery. The procedure is minimally invasive and does not cause significant trauma to surrounding tissues.
B. "I know the provider will replace the lens in my eyes during this procedure." – This is the correct statement. Cataract surgery involves removing the cloudy lens and replacing it with an artificial intraocular lens (IOL) to restore vision.
C. "I will see dark spots in my vision after this procedure." – Visual disturbances such as dark spots or floaters are not expected. Some clients may experience mild blurriness, but this should improve as the eye heals.
D. "I will receive general anesthesia for this procedure." – Cataract surgery is typically performed under local anesthesia with sedation, not general anesthesia. The client remains awake but does not feel pain.
Correct Answer is A
Explanation
A. This is the correct answer. A snug-fitting bra helps suppress lactation and provides support to relieve discomfort. It should be worn continuously, even while sleeping, for 72 hours.
B. Moist heat stimulates milk production and should be avoided. Instead, cold compresses can help reduce swelling.
C. Fluid restriction is not necessary and could lead to dehydration.
D. Manually expressing milk will encourage continued milk production rather than suppressing lactation.
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