The nurse is caring for a client who has just had a radical mastectomy and axillary node dissection. When
providing teaching to the client, which is the most appropriate?
Avoid exercise of the arm for the next 2 months.
Avoid exercise of the arm for the next 2 months.
Avoid lifting objects heavier than 10 pounds.
Use a sling until healing is complete
The Correct Answer is C
After a radical mastectomy and axillary node dissection, the client may experience swelling and discomfort in the affected arm, known as lymphedema. Lifting heavy objects with the affected arm can worsen the swelling and increase the risk of developing lymphedema. Therefore, it is important for the client to avoid lifting heavy objects with the affected arm and to limit activity that could cause strain or injury to the arm. However, gentle exercise and movement of the arm can help improve circulation and reduce the risk of lymphedema. Using a sling is not typically necessary after this type of surgery, and keeping cuticles clipped neatly is not directly related to post-operative care for a mastectomy and axillary node dissection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should identify the risk factor of the client giving birth to their first child at age 40 as this is associated with an increased risk of certain pregnancy complications and health problems for both the mother and the baby, such as gestational diabetes, preeclampsia, preterm delivery, and chromosomal abnormalities in the baby. Breastfeeding, experiencing peri-menopausal symptoms, and menarche at age 13 are not significant risk factors in this context. However, it is important to note that each of these factors may be relevant to the client's overall health history and should be documented and taken into consideration as appropriate.
Correct Answer is A
Explanation
Breast self-examination is an essential part of breast cancer detection and should be performed regularly by all women, regardless of their medical history. While the client may have undergone a left modified radical mastectomy, this does not eliminate the possibility of developing breast cancer in the right breast or other parts of the body. Therefore, it is essential to continue performing breast self-examination regularly to detect any changes that may occur in the right breast.
Option b, "Is lucky that the cancer was caught in time" and option c, "should schedule a follow- up appointment in 6 months" may also be appropriate responses depending on the client's specific situation but option a is the most universally applicable response.
Option d, "I have irregular menses" is unrelated to the topic and does not address the client's
concern or needs.
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