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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: The frontal lobe, specifically Broca's area located in the dominant hemisphere, is responsible for expressive speech. Damage to this area can result in expressive aphasia or difficulty expressing speech.
Choice B rationale: The occipital lobe primarily processes visual information.
Choice C rationale: The temporal lobe is involved in auditory processing and language comprehension.
Choice D rationale: The parietal lobe is involved in spatial perception, attention, and sensory information processing.
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Correct Answer is A
Explanation
Choice A rationale: this is the correct answer since the darkened spots in the uterus represent endometrial-like tissue growths within the muscular wall of the uterus (the myometrium).
Choice B rationale: This picture shows leiomyomas, also known as fibroids, which are benign tumors that develop from the smooth muscle cells of the uterus. They can vary in size, number, and location within or outside the uterus. They can cause symptoms such as heavy bleeding, pelvic pressure, pain, and infertility.
Choice C rationale: This is endometriosis which is a condition where tissue similar to the endometrium (the lining of the uterus) grows outside the uterus, such as on the ovaries, fallopian tubes, pelvic wall, or bowel. This tissue responds to hormonal changes and bleeds during the menstrual cycle, causing inflammation, pain, and sometimes infertility.
Choice D rationale: This image shows a normal uterus.
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