The nurse is providing care for a patient who had a mastectomy for breast cancer 2 days ago. What should the nurse include in the daily care?

Empty the drain device every shift.

Minimize use of the affected arm.

Measure the circumference of both arms.

Place the affected arm below the level of the heart.

Answer and Explanation

The Correct Answer is A

Choice A reason: Emptying the drain device every shift is important to prevent infection and accumulation of fluid, which can impede healing.

Choice B reason: Minimizing use of the affected arm is not recommended; rather, gentle exercises to promote circulation and prevent lymphedema are usually encouraged.

Choice C reason: Measuring the circumference of both arms can be part of monitoring for lymphedema, but it is not the priority in immediate post-mastectomy care.

Choice D reason: Placing the affected arm below the level of the heart is not recommended as it can increase swelling; elevation is usually advised.

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Correct Answer is D

Explanation

Choice A reason: Instructing the patient to wear constrictive clothing is incorrect, as it can worsen venous stasis ulcers by impeding blood flow.

Choice B reason: Encouraging the patient to keep legs in a dependent position is not recommended, as elevation helps in reducing venous pressure.

Choice C reason: Frequent ambulation is encouraged to promote blood circulation and prevent stasis.

Choice D reason: Applying compression stockings is a standard care practice to help reduce venous pressure and prevent fluid from pooling in the legs.

A. Provision of home care. B. Decision for surgery until transfer to surgery. C. Admission to PACU until recovery. D. Transfer to surgery until transfer to PACU.

Correct Answer is C

Explanation

Choice A reason: Provision of home care is not part of the immediate postoperative phase described during preoperative teaching.

Choice B reason: The decision for surgery until transfer to surgery is part of the preoperative phase, not the postoperative phase.

Choice C reason: Admission to the Post Anesthesia Care Unit (PACU) until recovery is the correct description of the postoperative phase, where the patient is monitored as they recover from anesthesia.

Choice D reason: Transfer to surgery until transfer to PACU describes the transition from preoperative to intraoperative phases, not the postoperative phase.

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The nurse is providing care for a patient who had a mastectomy for breast cancer 2 days ago. What should the nurse include in the daily care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with venous stasis ulcers. What actions should the nurse take?

Correct Answer is D

Explanation

Which of these would the nurse state to describe the postoperative phase of surgery to the patient during preoperative teaching?

Correct Answer is C

Explanation

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