The nursing intervention that would best meet a client's mobility needs for the first 24 hours after modified radical mastectomy is
a. encourage the client to touch the fingers to shoulders, extending arm fully.
b. encourage the client to use the operative arm to brush her hair.
c. maintain complete immobility of the operative arm for the first 24 hours.
d. perform passive range-of-motion exercises with the operative arm.
A
In the immediate postoperative period for the mastectomy client, the nurse should encourage the client to perform arm exercises and elevate the arm to promote lymphatic drainage and prevent infection.
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Mrs. K is a 69-year-old widow who lives alone. At her clinic visit she confessed to the nurse that she is embarrassed by her frequent diarrhea and bloating after meals. At times she also feels sweaty or dizzy
Because of this problem she no longer goes out with friends to eat, which in the past has been an enjoyable source of socialization. The nurse advises her to continue to go out with her friends but also to: 1. Eat smaller portions and avoid extra fluid with meals. 2. Avoid eating all day before she goes out and then eat a large meal. 3. Eat food cooked at home since many restaurants have additives that can cause diarrhea. 4. Eat foods with simple rather than complex carbohydrates.
A new parent reports to the nurse that the baby looks cross-eyed several times a day. The nurse teaches the parents that this finding should resolve in how long?
1. 2 months 2. 2 weeks 3. 1 year 4. 4 months
Which of the following changes have occurred in public health since 1990? (Select all that apply.)
a. Renewed focus on primary care to the medically indigent b. Development of coalitions and partnerships to provide care to populations c. Improved emergency preparedness with funding for such preparation d. Improved surveillance and infrastructure as a result of fears about terrorism e. Increased emphasis on primary care to individuals and families f. Increased funding from Medicaid for services rendered
Which of the following clients presents the highest risk for health-related concerns?
a. Ms. Madison, a 25-year-old woman living in a woman's shelter b. Mr. Saliman, a 62-year-old man taking medication for chronic hypertension and diabetes c. Mr. Joseph, a 17-year-old man attending an outpatient mental health clinic d. Ms. Tray, a 31-year-old woman addicted to cocaine