The nurse explains to a client following mastectomy with lymph node dissection that care of the operative arm should include

a. avoiding heavy lifting and trauma to the arm.
b. having blood pressure taken on the operative arm.
c. limiting all movement until the incision is healed.
d. wearing an Ace bandage wrap for 2 years.


A
The client is vulnerable to secondary edema in the arm on the operated side for life. Heavy lifting could lead to edema in the arm, and trauma in the arm may lead to edema and infection. Blood pressures are taken on the opposite arm. Gentle range of motion is started on postoperative day 1 . Ace bandages are not routinely worn; however, pressure garments are available if lymphedema does occur.

Nursing

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