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 C
Explanation
A. Healthy weight – A BMI between 18.5 and 24.9 is classified as healthy. Since the client's BMI is 17.2, they do not fall within this range.
B. Overweight – Overweight is defined as a BMI between 25.0 and 29.9. The client's BMI of 17.2 is far below this range.
C. Underweight – A BMI below 18.5 is classified as underweight. Since the client's BMI is 17.2, they fall into this category. Clients with Crohn’s disease often experience malabsorption and weight loss, leading to a low BMI.
D. Obesity class 1 – Obesity is categorized as a BMI of 30.0 or higher. The client’s BMI is far below this classification.
Correct Answer is B
Explanation
A. Hold a vibrating tuning fork 1 to 2 cm (0.4 to 0.8 in) from the child's ears – This describes the Rinne test, not the Weber test.
B. Place a vibrating tuning fork on the top of the child's head – Correct. The Weber test assesses hearing loss by placing a tuning fork on the midline of the skull to determine if sound is heard equally in both ears.
C. Whisper a statement to the child from 0.6 m (2 feet) away – This describes the whisper test, not the Weber test.
D. Apply a pair of headphones securely over the child's ears – Not part of the Weber test; this is used for audiometry testing.
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