Practice Quiz

NCLEX-PN

Category - Health Promotion

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A nurse is assigned to care for a female client who underwent mastectomy of the left breast 72 hours ago. Which of the following nursing teachings should the nurse reinforce before discharge?
  1. Wearing of wristwatches or jewelry is allowed on the left arm
  2. Monitor blood pressure on the left side
  3. Place the left arm above the level of the heart when sitting or lying down
  4. Avoid wearing of long sleeves when gardening and gloves when washing dishes
Explanation
Answer: C - The client must maintain her left arm, or the arm of the affected side, above the level of the heart when lying or sitting to prevent lymphedema. Wearing of wristwatches and jewelry as well as blood pressure measurements should be avoided on the left arm. Clothes with long sleeves and gloves can protect the affected side from complications.
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