A patient underwent a modified mastectomy and has a pressure dressing encircling her chest. Which postoperative nursing care intervention will the nurse anticipate to be challenging for the patient?
A) Promoting intake
B) Checking blood pressure
C) Turning, coughing, and deep breathing
D) Checking dressings
Ans: C
Feedback: A fear of pain, tight dressings, and tearing the incision site tends to limit chest expansion and a willingness to cough and change positions. However, the patient will need to perform these functions by facilitating movement of secretions to help prevent atelectasis. Promoting intake isn't an initial concern because the patient is receiving IV therapy postoperatively. Checking the blood pressure is incorrect because this can and should be done on the arm opposite the operative site. Checking dressings initially isn't a problem, but later when the dressings are changed, it can be difficult for the patient physically and emotionally.
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