husband.” ■ 3. about your “Tell me more feelings on this.” ■ 4. the social worker talk to you if “I can have you would like.” 33. Postoperatively after a modifi ed radical mastectomy, a client has an incisional drainage tube attached to Hemovac suction. The nurse determines the suction is effective when: ■ 1. The intrathoracic pressure is decreased and the client breathes easier. ■ 2. There is an increased collateral lymphatic fl ow toward the operative area. ■ Accumulated serum and blood in the operative 3. area are removed. ■ 4. No adhesions are formed between the skin and chest wall in the operative area. 34. Which of the following positions would be best for a right arm when she returns to her client’s room after a right modifi ed radical mastectomy with multiple lymph node excisions? ■ 1. Across her chest wall. ■ 2. At her side at the same level as her body. ■ 3. In the position that affords her the greatest comfort without placing pressure on the incision. ■ 4. On pillows, with her hand higher than her elbow and her elbow higher than her shoulder. 35. The client with breast cancer is prescribed tamoxifen (Nolvadex) 20 mg daily. The client states she does not like taking medicine and asks the nurse if the tamoxifen is really worth taking. The nurse’s best response is which of the following? ■ 1. is part of your “This drug chemotherapy program.” ■ 2. been found to decrease metastatic “This drug has breast cancer.” ■ 3. will act as an estrogen in your “This drug breast tissue.” ■ 4. drug will prevent hot fl ashes since you “This cannot take hormone replacement.” 36. A client undergoing chemotherapy after a modifi ed radical mastectomy asks the nurse questions about a breast prosthesis and wigs. After answering the questions directly, the nurse should also: ■ 1. Provide a list of resources, including the local breast cancer support group. ■ 2. Offer a referral to the social worker.
husband.” ■ 3. “Tell me more about your feelings on this.” ■ 4. “I can have the social worker talk to you if you would like.” 33. Postoperatively after a modifi ed radical mastectomy, a client has an incisional drainage tube attached to Hemovac suction. The nurse determines the suction is effective when: ■ 1. The intrathoracic pressure is decreased and the client breathes easier. ■ 2. There is an increased collateral lymphatic fl ow toward the operative area. ■ 3. Accumulated serum and blood in the operative area are removed. ■ 4. No adhesions are formed between the skin and chest wall in the operative area. 34. Which of the following positions would be best for a client’s right arm when she returns to her room after a right modifi ed radical mastectomy with multiple lymph node excisions? ■ 1. Across her chest wall. ■ 2. At her side at the same level as her body. ■ 3. In the position that affords her the greatest comfort without placing pressure on the incision. ■ 4. On pillows, with her hand higher than her elbow and her elbow higher than her shoulder. 35. The client with breast cancer is prescribed tamoxifen (Nolvadex) 20 mg daily. The client states she does not like taking medicine and asks the nurse if the tamoxifen is really worth taking. The nurse’s best response is which of the following? ■ 1. “This drug is part of your chemotherapy program.” ■ 2. “This drug has been found to decrease metastatic breast cancer.” ■ 3. “This drug will act as an estrogen in your breast tissue.” ■ 4. “This drug will prevent hot fl ashes since you cannot take hormone replacement.” 36. A client undergoing chemotherapy after a modifi ed radical mastectomy asks the nurse questions about a breast prosthesis and wigs. After answering the questions directly, the nurse should also: ■ 1. Provide a list of resources, including the local breast cancer support group. ■ 2. Offer a referral to the social worker.
7-The-Client-with-Reproductive-Health-Problems-TEST.docx