A client had a mastectomy nearly a year ago and is distressed over continued tingling and burning in the ipsilateral arm. What orders does the nurse prepare to implement?
a. Teach the client about gabapentin (Neu-rontin).
b. Demonstrate the use of heat therapy to the axilla.
c. Discuss ways to prevent constipation with pain meds.
d. Reassure the client that this will disappear shortly.
A
Injury to nerves causes paresthesias such as burning, tingling, "pins and needles," and numbness after a mastectomy. These sensations are usually gone by the end of a year. Because this client's symptoms are distressing and have lasted so long, the nurse should anticipate an order for Neu-rontin. Narcotic pain medications will not be helpful or needed. Heat therapy may or may not be helpful, and reassuring the client at this point will sound unbelievable.
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