A nurse is caring for a client admitted for a mastectomy. What instruction should be given to the client?
A) Follow a sodium-rich diet after the surgery.
B) Instruct how to care for a Jackson-Pratt (JP) drain.
C) Avoid lifting the hand to brush her hair after surgery.
D) Instruct the client about Kegel exercises.
B
Feedback:
The nurse should teach the client how to care for a JP drain. The client should follow a low-sodium diet rather than a sodium-rich diet after the surgery. The client is permitted to lift her hand to brush her hair after the surgery. The nurse should instruct the client about postmastectomy exercises rather than Kegel exercises. Kegel exercises are done to restore the muscle tone of the urethral sphincter.
You might also like to view...
Periods of mental illness or dysfunction marked by an increase in the signs, symptoms, and seriousness of a problem or disorder are called
1. delays. 2. exceptions. 3. remissions. 4. exacerbations.
An older patient with angina complains of prolonged and severe pain that occurs at the same time each day during rest. There are no precipitating factors to the pain. How should the nurse describe this type of angina pain?
1. Stable angina 2. Unstable angina 3. Non-anginal pain 4. Atypical angina (Prinzmetal's angina)
The anatomy and physiology instructor is explaining the immune response to the latest class of nursing students. How would the instructor characterize the humoral response?
A) By the special T lymphocytes interacting with a specific antigen B) By the increasing number of T lymphocytes C) By stimulating the resident lymphocytes to become cells that attack microbes directly D) By the production of antibodies by B lymphocytes in response to a specific antigen
A patient is admitted to the emergency department complaining of abdominal pain. Further assessment of the abdomen reveals signs of peritoneal irritation. What are signs of peritoneal irritation? (Mark all that apply.)
A) Ascities B) Rebound tenderness C) Changes in bowel sounds D) Muscular rigidity E) Bruising