The Nurse Is Caring for a Client Who Returns to the Surgical

question 12

Multiple Choice

The nurse is caring for a client who returns to the surgical unit following a right modified radical mastectomy with dissection of axillary lymph nodes. Which of the following nursing actions should be included in the plan of care?

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

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Definitions:

Dim Light

Low, insufficient lighting that makes vision difficult.

Distracted

The state of having one's attention diverted from a task or train of thought, often due to external stimuli or internal concerns.

Chronic Conditions

Long-lasting medical conditions that can be controlled but not cured.

Hypertension

Chronically high blood pressure.