When examining a patient who has undergone a mastectomy, the nurse should do which of the following? Select all that apply
a. Always begin the examination on the unaffected breast.
b. Inspect the scar(s) for swelling, lumps, thickening, redness, rash, or irritation.
c. Use two finger pads to palpate the surgical scar.
d. Perform large, circular motions when palpating the area.
e. Examine the area for swelling, lumps, thickening, or tenderness.
f. Instruct the patient to perform annual breast self-examinations to determine if masses have returned to the excised area.
A, B, C, E
When examining a patient who has undergone a mastectomy, the nurse should begin the examination on the unaffected breast; inspect the scar(s) for swelling, lumps, thickening, redness, rash, or irritation; perform small (not large) circular motions and use two finger pads to palpate the surgical scar; examine the area for swelling, lumps, thickening, or tenderness; and instruct the patient to perform monthly (not annual) breast self-examinations to determine if masses have returned to the excised area. A clinical evaluations and mammography are recommended annually.
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