The nurse is caring for a client who had a left mastectomy several years ago and was admitted to the acute care facility secondary to lymphangitis

What nursing interventions will be included in the plan of care? Standard Text: Select all that apply. 1. Increase activity levels.
2. Elevate left arm.
3. Application of heat to the left arm
4. Massage of the left arm
5. Keep the client in the supine position as often as possible.


2,3
Rationale: Elevating the arm will help to make gravity work with the body to reduce edema, and applications of heat will cause vasodilation, which will also help to remove excess fluid. The nurse must use caution when applying heat to avoid burning the client. Massage of the arm could cause additional trauma. Increasing activity levels will have no helpful affect, and it is not necessary to keep the client supine so long as the arm is elevated in whatever position the client assumes.

Nursing

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The nurse is caring for a patient who is to receive a transfusion of packed red blood cells. The patient has a 22-gauge IV in his arm with 0.9% normal saline infusing

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The nurse is completing a health history with a client who has complications from chronic asthma. Which open-ended question should the nurse use?

1. "How would you describe your sleep pattern?" 2. "Can you describe your coughing pattern?" 3. "Is there anything that makes your breathing worse?" 4. "What medications are you on?"

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