Nokea
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.
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A ___ is performed to evaluate living tissue to establish or confirm a diagnosis or to follow the course of a disease.
Correct Answer: biopsy
Rationale: Biopsies are procedures in which samples of tissue are taken for evaluation to confirm or locate a lesion.
The patient, age 52, is recovering from a modified radical mastectomy. For which reason will the nurse ensure postoperative elevation of the patient's arm after this procedure?
- A. To prevent vascular and lymph stasis, thus lymphedema.
- B. To prevent drainage accumulation at the incisional site.
- C. To prevent wound infection and dehiscence.
- D. To prevent pleural effusion and respiratory distress.
Correct Answer: A
Rationale: If the arm is not restricted by dressings, it may be elevated on a pillow with the hand and wrist higher than the elbow and the elbow higher than the shoulder joint. This will facilitate the flow of fluids through the lymph and venous routes and prevent lymphedema.
The patient reports that she is free of gonorrhea and can now engage in sexual activity. Which response is most appropriate?
- A. If you have been free of symptoms for 2 weeks you are cured.'
- B. You should get a rapid plasma reagin (RPR) just to make sure.'
- C. No case is considered cured until you have had three consecutive negative cervical smears.'
- D. To confirm your cure, you should get a Venereal Disease Research Lab (VDRL).'
Correct Answer: C
Rationale: No case of gonorrhea is considered cured until you have had three consecutive negative cervical smears. The RPR and the VDRL are tests for syphilis.
A patient, age 36, is scheduled for a right modified radical mastectomy. She is withdrawn and does not initiate interaction with the nurse. Which activity is the most appropriate nursing action at this time?
- A. Carefully explain the postoperative activity restrictions.
- B. Show her a diagram of what the orchiectomy will accomplish.
- C. Assure her that she will have adequate future sexual functioning.
- D. Assess her concerns related to her diagnosis and treatment.
Correct Answer: D
Rationale: A common patient problem for a patient with a reproductive disorder is having concerns related to the diagnosis and treatment of breast cancer. It is beneficial to listen to the concerns about this treatment.
___ are produced in the seminiferous tubules and stored in the epididymis.
Correct Answer: Sperm
Rationale: The two oval testes (gonads) are enclosed in the scrotum, a saclike structure that lies suspended from the exterior abdominal wall. This position keeps the temperature in the testes below normal body temperature, which is necessary for viable sperm production and storage. Each testis contains one to three coiled seminiferous tubules that produce the sperm cells.