Nurse Farah is caring for a client following a mastectomy. Which assessment finding indicates that the client is experiencing a complication related to the surgery?
A. Pain at the incisional site
B. Arm edema on the operative side
C. Sanguineous drainage in the Jackson-Pratt drain
D. Complaints of decreased sensation near the operative site
Answer: B
Explanation: Arm edema on the operative side (lymphedema) is a complication following mastectomy and can occur immediately postoperatively or may occur months or even years after surgery. Options A, C, and D are expected occurrences following mastectomy and do not indicate a complication.
You might also like to view...
The breathing in of volatile substances has become popular with adolescents and young adults because such inhalants are: (Select all that apply.)
a. Legal b. Illegal c. Harmless d. Expensive e. Inexpensive f. Easily obtained g. Undetectable in the body
You are caring for a newborn who has a nursing diagnosis of "Risk for hypothermia related to prematurity, abnormal disorders at birth, and/or exposure to cool environments"
Your plan of care should include which of the following? (Select all that apply.) a. Provide a neutral thermal environment. b. Prevent conditions that precipitate cold stress. c. Teach mother proper breastfeeding technique. d. Teach the breastfeeding mother proper care of her nipples. e. Identify the infant at risk for potential or actual temperature instability. f. Teach parents how to maintain the infant's temperature.
Which of the following client care tasks would most likely be third priority in terms of assessing? Select all that apply
a. Dressing change for a client who is 3-days post-op b. Teaching a client about the importance of the ordered medications c. Returning a call to a family member who is requesting information d. Starting an IV on a client in a sickle cell crisis e. Teaching family members about methods to prevent accidents in the home f. Monitoring a client who is in the first 15 minutes of receiving a unit of blood
Criminal Law
What will be an ideal response?