The nurse has admitted a client to the clinical nursing unit following right-sided mastectomy. The nurse plans to place the right-sided arm in which of the following positions?
1. Level with the right-sided atrium
2. Elevated above shoulder level
3. Elevated on one or two pillows
4. Dependent to the right-sided atrium
3
Rationale: The client's operative arm should be positioned so that it is elevated on one or two pillows and does not exceed shoulder elevation. This promotes optimal drainage from the limb, without impairing the circulation to the arm. If the arm is positioned flat ("level with the right-sided atrium") or dependent ("dependent to the right-sided atrium"), this could increase the edema in the arm, which is contraindicated because of lymphatic disruption caused by surgery.
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Which response should the nurse give when a parent of a child with a greenstick fracture asks the nurse to explain this type of fracture?
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