Which exercise plan or activity does 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 and the elbow flexed, and as close to your body as poss-ible."
b. "Without moving your shoulder, straigh-ten your elbow three times hourly and squeeze a rubber 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 on the first postoperative day. Exercises should not put stress on the incision 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. Total immobility is not recommended. The other two exercises can be performed a few days after the operation.
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The nurse can ensure that client teaching is effective by:
a. postponing feedback after the teaching session to let the client absorb the information b. keeping to a clearly defined instructional plan c. encouraging client's active participation d. choosing one teaching method for the teaching session
The daughter of an older patient is concerned that the patient continues to drive at age 81. What should the nurse share with the daughter and patient about motor vehicle accidents and older people?
1. The elderly have few wrecks, as they are more cautious drivers. 2. There are few studies available looking at this particular concern. 3. The risks of seniors over age 80 are similar to those of teen drivers. 4. Accidents are the result of cognitive changes not related to sensory problems.
The nurse is reviewing a client's laboratory results. Which finding is of most concern?
1. HDL cholesterol 62 mg/dL 2. Triglycerides 349 mg/dL 3. LDL cholesterol 92 mg/dL 4. Total cholesterol 202 mg/dL
A patient has completed an upper gastrointestinal x-ray, small bowel series, and lower gastrointestinal x-ray. Following these x-rays, the nurse will need to administer
A) A low-residue diet B) An antibiotic C) A laxative D) High-fiber diet