The nurse is caring for a client that has undergone a modified left radical mastectomy with lymph node removal. Which intervention would assist in preventing lymphedema?

Avoiding arm exercise in the immediate post-op period

Instruct the client to sleep in the left lateral side lying position

Placing cool compresses on the affected arm

Elevating the affected arm on a pillow above the level of the heart

Answer and Explanation

The Correct Answer is D

A.   This statement is not advisable. While it is essential to avoid strenuous activity initially, gentle arm exercises and range-of-motion activities are generally encouraged as soon as possible to promote circulation and help prevent lymphedema. Immobilization can actually increase the risk of lymphedema.
B.   This intervention is not recommended for preventing lymphedema. Sleeping on the side of the surgery (in this case, the left side) can put pressure on the affected arm and may not promote proper lymphatic drainage. Clients are often advised to sleep on their back or to position themselves in a way that does not compress the affected arm.
C.   This intervention can provide temporary relief if there is swelling or discomfort, but it does not effectively prevent lymphedema. While cool compresses might help reduce inflammation, they are not a primary measure for lymphedema prevention.
D.   This is the most effective intervention for preventing lymphedema. Elevating the affected arm helps facilitate lymphatic drainage and reduces the risk of fluid accumulation. Keeping the arm elevated above heart level encourages proper circulation and helps manage swelling.

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Correct Answer is C

Explanation

A. While applying heat may help alleviate discomfort, it is not the primary recommendation for managing epididymitis. The treatment often involves rest, elevation of the scrotum, and possibly cold packs rather than heat. Therefore, while this statement may reflect some understanding, it is not the best indicator of comprehensive knowledge about managing epididymitis.
B. While some mild cases may improve spontaneously, most cases of epididymitis require treatment, especially if they are caused by infections, which are common. Untreated epididymitis can lead to complications, so this statement does not reflect an accurate understanding of the condition.
C. If epididymitis is caused by a sexually transmitted infection (STI), it is important that sexual partners be evaluated and treated as well to prevent reinfection. This indicates a proper understanding of the implications of the condition, particularly in the context of STIs.
D. It seems to reference concerns related to radiation therapy, which is unrelated to the management or understanding of epididymitis. This indicates a lack of focus on the current diagnosis and its implications.

A. Petechiae and epistaxis B. Generalized edema and rash C. Alopecia and pallor D. Bradycardia and lethargy

Correct Answer is A

Explanation

A. Petechiae (small red or purple spots caused by bleeding under the skin) and epistaxis (nosebleeds) result from thrombocytopenia, which is a low platelet count often seen in leukemia. The compromised bone marrow function leads to inadequate production of platelets, resulting in bleeding and bruising.
B. While generalized edema and rash can occur in various conditions, they are not specific to ALL and are not common initial findings. Edema might be seen in certain contexts (e.g., renal involvement or fluid overload), but it is not a hallmark of ALL.
C. Alopecia (hair loss) and pallor (paleness) can occur in clients undergoing chemotherapy for ALL, but they are not typically initial findings at the time of diagnosis. Pallor may result from anemia, which can develop as a consequence of the disease, but it is not the most immediate or characteristic symptom of ALL.
D. Bradycardia (slow heart rate) and lethargy are not typical initial findings of ALL. Lethargy could be present due to anemia or other systemic effects, but bradycardia is not commonly associated with the disease and would require further investigation for other underlying causes.

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ABG Value	Normal Range
PH	7.35-7.45
PaCO2	35-45 mm Hg
HCO3-	22-26 mEq/L
Base excess	-2 to +2
PaO2	80-95 mm Hg
SaO2	>95%

The nurse is caring for a client that has undergone a modified left radical mastectomy with lymph node removal. Which intervention would assist in preventing lymphedema?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 35-year-old male who is diagnosed with epididymitis. Which statement would indicate the client understands teaching about this condition?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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