A patient has been discharged home after a total mastectomy without reconstruction. The patient lives alone and has a home health referral
When the home care nurse performs the first scheduled visit this patient, what should the nurse assess? Select all that apply.
A) Adherence to the exercise plan
B) Overall psychological functioning
C) Integrity of surgical drains
D) Understanding of cancer
E) Use of the breast prosthesis
Ans: A, B, C
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Patients who have difficulty managing their postoperative care at home may benefit from a home health care referral. The home care nurse assesses the patient's incision and surgical drain(s), adequacy of pain management, adherence to the exercise plan, and overall physical and psychological functioning. It is unnecessary to assess the patient's understanding of cancer at this stage of recovery. Prostheses may be considered later in the recovery process.
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