A female patient is recovering from breast cancer surgery that included axillary node dissection. The nurse realizes that this patient will need education regarding the potential development of which complication?
1. lymphedema
2. metastasis
3. anemia and bleeding
4. altered shoulder movement
Correct Answer: 1
Axillary node dissection is generally performed during surgery for all invasive breast carcinomas to stage the tumor. This surgery can cause lymphedema. Removal of the lymph nodes does not increase risk of metastasis, anemia, or bleeding. Range of motion exercises should be performed on the affected arm to help develop collateral lymph drainage.
You might also like to view...
The nurse is caring for a patient with deep vein thrombosis of the left lower extremity. The patient exhibits a decrease in pulse oximetry readings from 98% to 86%, shortness of breath with a respiratory rate of 34, and is now disoriented to place
The nurse recognizes that these findings are caused by what complication? A) Pulmonary edema B) Cardiac tamponade C) Pulmonary embolus D) Tension pneumothorax
When describing elder abuse to the families of older adults who are attending a local community presentation, which of the following would the community health nurse identify most commonly as the perpetrator?
A) Elder's adult child B) Elder's partner C) Elder's neighbor D) Elder's grandchild
A patient with primary insomnia asks the nurse why day naps do not compensate for a lost night's sleep. Select the nurse's best reply
a. "Circadian cycles give daytime naps a structure different from nighttime sleep.". b. "The body clock operates on a 25-hour cycle, making nap effectiveness unpredictable.". c. "It is a matter of habit and expectation. We expect to be more refreshed from a night's sleep.". d. "Sleep restores homeostasis but works more efficiently when aided by melatonin secreted at night.".
A nurse is determining the quality of care that is provided. Which of the following factors would the nurse examine?
a. Adequacy and appropriateness b. Agency mission statements c. Cost–benefit ratios d. Personal feelings about the care