In caring for a client with post-mastectomy breast reconstruction using a subpectoral implant, the nurse would stress that the client can prevent capsule formation by
a. using daily heat applications.
b. keeping the implant very soft.
c. not wearing a bra until the implant drops.
d. wearing a bra at all times.
C
Initially, the implant sits higher on the chest than a normal breast and is hard. Over time the muscle stretches and the implant drops and softens. These women do not wear bras because the implant needs to migrate into the pocket created for it on the chest.
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Which patient would the perinatal nurse assess as being most at risk for maternal attachment problems?
A. 18 year-old married woman with a supportive family who lives nearby B. 20-year-old woman with remote history of chlamydia and gonorrhea C. 22-year-old alcoholic who has been sober for 10 years D. 52-year-old unemployed divorced woman who thought she was in menopause
A nurse notes that when an infant is startled, she looks at her mother. What conclusion can the nurse make about this infant's development?
A. The child is slow to adapt and is distressed over small changes. B. The developmental needs of the child are not being met. C. The infant can develop other relationships because he is secure. D. The infant has an unstable home environment and is insecure.
Mrs. Kemmerer is a 56-year-old patient who presents to the office for a routine annual examina-tion. She states that she completed menopause 3 years ago and has not had further menses. Which breast change is typical after menopause?
a. Thickening of the inframammary ridge b. Hypertrophy of glandular tissue c. Increase in number of lactiferous ducts d. Reduction of fat deposits
A patient with severe heart failure asks why the prescriber has lowered the dosages of most of the patient's daily medications. What is the nurse's best response?
a. "With a weaker heart, the drugs stay in your system longer, so you don't need as high a dosage." b. "Your heart drugs enhance the action of your other drugs, reducing the need for higher dosages." c. "Your heart is not strong enough to tolerate these drugs, making the risk for a heart attack higher." d. "The drugs are very expensive, and with these heart problems your health is not expected to improve."