Which nursing action should be included in the plan of care for a patient returning to the surgical unit after a left modified radical mastectomy with dissection of axillary lymph nodes?

Post a sign at the bedside warning against venipunctures or blood pressures in the left arm.

Obtain a permanent breast prosthesis before the patient is discharged from the hospital.

Teach the patient to use the ordered patient-controlled analgesia every 10 minutes.

Insist that the patient examine the surgical incision when the initial dressings are removed.

Answer and Explanation

The Correct Answer is A

Choice A rationale: Post-surgery, there's a risk of lymphedema in the affected arm, so avoiding procedures like venipuncture or blood pressure measurements in the left arm helps prevent complications.

Choice B rationale: Obtaining a permanent breast prosthesis is a consideration post- recovery but not an immediate priority upon return to the surgical unit.

Choice C rationale: Patient-controlled analgesia instructions are important but don't specifically address immediate care after mastectomy.

Choice D rationale: Insisting that the patient examine the surgical incision might not be appropriate upon return to the unit, and it's typically done by healthcare professionals during dressing changes.

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Correct Answer is B

Explanation

Choice A rationale: Adenomas are benign tumors that originate from glandular tissue, such as the endometrium, the inner lining of the uterus.

Choice B rationale: Leiomyomas, also known as fibroids, are benign tumors that arise from the smooth muscle cells of the myometrium, the middle layer of the uterine wall. They are the most common type of uterine tumors, affecting up to 80% of women by age 50. They can cause symptoms such as heavy menstrual bleeding, pelvic pain, pressure, and infertility.

Choice C rationale: Endometriosis is a condition where endometrial tissue grows outside the uterus, causing inflammation and pain.

Choice D rationale: Adenomyosis is a condition where endometrial tissue invades the myometrium, causing enlargement and distortion of the uterus.

A. A diagnostic test that will detect muscle dysfunction. B. A diagnostic test that determine the mineral density of the bone. C. A diagnostic test that generates detailed images of body structures, including the bones, tissues, organs, and nerves D. A diagnostic test that generates rapid, clear two-dimensional images of the bones, organs, and tissues

Correct Answer is B

Explanation

Choice A rationale: This test is not specific for confirming osteoporosis.

Choice B rationale: This test is called a bone mineral density (BMD) test or a dual-energy X-ray absorptiometry (DXA) scan. It measures how much calcium and other minerals are in a segment of bone.

Choice C rationale: This test is not specific for confirming osteoporosis.

Choice D rationale: This test is not specific for confirming osteoporosis.

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Which nursing action should be included in the plan of care for a patient returning to the surgical unit after a left modified radical mastectomy with dissection of axillary lymph nodes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 40-year-old female presents with cramping and excessive vaginal bleeding. Ultrasound reveals benign uterine tumors in the smooth muscle cells of the myometrium. These tumors are commonly called:

Correct Answer is B

Explanation

Which diagnostic test does the nurse expect the primary care provider to prescribe to confirm a diagnosis of osteoporosis?

Correct Answer is B

Explanation

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