Practice Quiz

CMSRN Medical-Surgical Nursing

Category - Genitourinary

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Ms. Andrews, a 42-year-old dance instructor, returns to the unit after undergoing a right modified radical mastectomy with dissection of the axillary lymph nodes. Which measure is an appropriate intervention for the nurse to include in Ms. Andrews’ postoperative care?
  1. Instruct the client to watch the clock and use the PCA pump every 10 minutes
  2. Insist that the client to examine the surgical incision when the surgical dressings are removed
  3. Post a sign at the bedside to avoid pressure measurements or venipunctures in the right arm
  4. Encourage the client to obtain a permanent breast prosthesis upon discharge from the hospital
Explanation
Answer - C - Postoperative care of a client following a modified radical mastectomy includes not taking the blood pressure or performing venipunctures on the operative side.
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