What exercise plan or activity should the nurse teach the client for the first postoperative day after a modified radical mastectomy?
A. "Perform no movement or exercise today. Keep the arm supported, with the el-bow flexed and as close to your body as possible."
B. "Without moving your shoulder, straighten your elbow three times every hour and squeeze a small sponge ball with your fingers."
C. "Face the wall and extend your arm straight out to the wall. Walk your fingers as far above your head as your arm will reach and then walk them back down."
D. "Hold your operative arm straight out from the shoulder to the side. Use your nonoperative arm to pull the operative arm completely straight above your head."
B
Mild exercise begins the first postoperative day. The exercises should not put stress on the inci-sion and do not involve the shoulder at this point. Full extension of the elbow, with support, is important, as is using grip maneuvers for the hand on the affected side.
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