When examining a patient who has undergone a left simple mastectomy, the nurse should do which of the following?

a. examine the right breast first
b. omit palpating the lymph nodes on the left side because they were removed
c. turn her to her right side before palpation
d. omit palpating the left nipple because it was removed


A
Examination of a patient who has had a mastectomy will be guided by the type of mastectomy and the presence or absence of reconstructive surgery. Follow the standard examination procedures and modify your technique to suit the amount of breast tissue and the presence, if any, of a nipple. Always begin on the unaffected breast. The nurse would examine the right breast first since the patient has a left simple mastectomy. In a simple mastectomy, only the breast is removed; thus, this patient has a nipple and lymph nodes.

Nursing

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