Which Nursing Action Should Be Included in the Plan of Care

question 11

Multiple Choice

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

• A) Obtain a permanent breast prosthesis before the patient is discharged from the hospital.
• B) Teach the patient to use the ordered patient-controlled analgesia (PCA) every 10 minutes.
• C) Post a sign at the bedside warning against venipunctures or blood pressures in the left arm.
• D) Insist that the patient examine the surgical incision when the initial dressings are removed.

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Definitions:

Douching

The practice of rinsing or cleaning out the vagina with water or other mixtures of fluids, which is often discouraged by healthcare professionals due to risks of infection.

Cotton Underwear

Undergarments made from cotton fabric, recommended for their breathability and comfort, often advised for better genital health.

Menstrual Cramps

Painful sensations felt in the lower abdomen, often occurring before or during a menstrual period due to uterine contractions.

Increased Blood Flow

An enhancement in the volume of blood moving through vessels in a particular area of the body.