A female client who has undergone a right radical mastectomy returns from surgery. Which one of the following nursing actions would be most appropriate?
A) Ask the client how she feels about having her breast removed.
B) Attach a sign above her bed to have BP, IV lines, and lab work in her right arm.
C) Encourage her to turn, cough, and deep breathe at frequent intervals.
D) Lower her right arm below heart level.
C
You might also like to view...
The nurse is caring for a patient who is taking a urinary anti-infective. What would the nurse need to assess this patient for?
A) Discolored urine B) Jaundice C) Signs and symptoms of continuing urinary tract infection (UTI) D) Flank pain
The nurse is writing a plan of care for an 85-year-old male patient admitted through the emergency room with a severe urinary tract infection. What intervention, if noted on the care plan, would be an inappropriate for this patient?
A) Encourage the patient to drink cranberry juice as part of his daily fluid intake. B) Avoid urinary catheterization when possible. C) Force fluids unless contraindicated. D) Administer antacids to decrease GI irritation caused by the medication.
Which of the following assessments would lead you to believe a postpartal woman is developing a urinary complication?
A) At 8 hours postdelivery she has voided a total of 100 mL in four small voidings. B) She has voided a total of 1000 mL in two voidings, each spaced 1 hour apart. C) She tells you she is extremely thirsty. D) Her perineum is obviously edematous on inspection.
A nurse assists an older adult who is homebound in a rural area. Which community resources might this client best benefit from?
A) Skilled home nursing B) Senior center C) Personal emergency response system D) Grocery delivery