Nokea
Select the intervention that should be performed with caution, in the affected arm, on patients who have undergone a modified radical mastectomy.
- A. Vaccinations
- B. Taking of blood pressure or samples
- C. Insertion of IV line
- D. Physical therapy on uninvolved arm
- E. Wear watch and jewelry on involved arm
- F. Carry purse on involved arm or shoulder
Correct Answer: A,B,C
Rationale: Patients should be taught not to have any procedures involving the arm on the affected side-BP readings, injections, intravenous infusion of fluids, or the drawing of blood, which may cause edema or infection-and to guard against infections from burns, needle pricks (sewing), and gardening injuries.
You may also like to solve these questions
Which statement is true of the Gardasil vaccine?
- A. It requires two more immunizations at 6 months after the first dose.
- B. It reduces incidence of cervical cancer.
- C. It reduces the incidence of human papilloma virus (HPV).
- D. It can be given only to females.
- E. It should be given before a person becomes sexually active.
- F. It is safe for people as young as 8 years of age.
Correct Answer: A,B,C,E
Rationale: Gardasil is a vaccine that is effective against HPV and reduces the incidence of cervical cancer; it can be given to males and females before they become sexually active. It is not recommended for children under 11 years of age.
The nurse provides discharge teaching for a patient regarding her activity level as she recovers from her modified radical mastectomy. Which statement by her indicates to the nurse that the teaching has been successful?
- A. I should sleep on the side opposite my mastectomy.'
- B. I should keep my right arm supported in a sling when I am up and around until my incision is healed.'
- C. I can do whatever exercises and activities I want as long as I don't elevate my right hand above my head.'
- D. I should take aspirin before moving or exercising my arm to prevent pain during the exercises.'
Correct Answer: A
Rationale: The patient should be instructed to avoid sleeping on the involved arm.
At which stage of life should a male be taught testicular self-examination (TSE)?
- A. childhood
- B. pre-adolescent
- C. puberty
- D. middle age adult
Correct Answer: C
Rationale: Young men should be taught to perform TSE monthly beginning at puberty.
Which factor influences older women's reluctance to seek medical care for problems of the reproductive system?
- A. Embarrassment and cultural factors
- B. Denial
- C. Religious convictions
- D. Lack of free time
Correct Answer: A
Rationale: Many older women are reluctant to seek medical care for problems of the reproductive system. This may be related to cultural factors, embarrassment, or lack of knowledge.
The nurse is assisting the health care provider in removing a small sample of tissue from the patient's cervix to have it evaluated. This procedure is called a cervical ___
Correct Answer: conization
Rationale: Conization of the cervix is indicated when eroded or infected tissue is to be removed or when there is a need for confirmation of cervical cancer. A cone-shaped section is removed when the mass is confined to the epithelial tissue.