The nurse working in a postoperative surgical clinic is assessing a woman who had a left radical mastectomy for breast cancer. Which factor puts this client at greatest risk for developing lymphedema?
A) She sustained an insect bite to her left arm yesterday.
B) She has lost twenty pounds since the surgery.
C) Her healthcare provider now prescribes a calcium channel blocker for hypertension.
D) Her hobby is playing classical music on the piano.
Ans: A) She sustained an insect bite to her left arm yesterday.
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The nurse is assessing for clubbing of the fingernails and expects to find:
a. Nail bases that are firm and slightly tender. b. Curved nails with a convex profile and ridges across the nails. c. Nail bases that feel spongy with an angle of the nail base of 150 degrees. d. Nail bases with an angle of 180 degrees or greater and nail bases that feel spongy.
The nurse is admitting a 35-year-old patient to the preoperative unit in preparation for an elective inguinal hernia repair procedure to be performed under general anesthesia. What is the nurse's initial priority nursing assessment?
A) Assess the patient's anxiety. B) Start an IV. C) Show the family the waiting area. D) Weigh the patient.
When using a portable tub, whirlpool equipment, or shower chairs, you must:
a. Follow the manufacturer's instructions b. Lock the wheels c. Use a transfer belt d. Wear gloves
Parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse's reply should be based on knowing that:
a. The child needs opportunities to play with peers. b. The child needs to understand that peers' activities are too strenuous. c. Parents can meet all the child's needs. d. Constant parental supervision is needed to avoid overexertion.