A client asks how soon after a mastectomy she can engage in sexual activity. Which is the nurse's best response?
a. "When do you want to resume sexual ac-tivity?"
b. "Most surgeons say to wait several weeks after the operation."
c. "As soon as the incision has healed com-pletely."
d. "You shouldn't worry about sexuality right now."
B
Most surgeons prefer that the client wait 4 to 6 weeks postoperatively before resuming sexual activity, although this very personal advice should be individualized. Asking the client when she wants to resume sexual activity places the burden on her to make a tentative decision. Until the incision is healed, clients should be taught how to protect the incision and avoid contact with the surgical site during intercourse. Telling the client not to worry about sexuality is dismissing and disrespectful.
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