The nurse is admitting a patient scheduled this morning for ...

[HCHenry]

The nurse is admitting a patient scheduled this morning for lumpectomy and axillary lymph node dissection. Which action should the nurse take first?
 
  a. Teach the patient how to deep breathe and cough.
  b. Discuss options for postoperative pain management.
  c. Explain the postdischarge care of the axillary drains.
  d. Ask the patient to describe what she knows about the surgery.

Question 2

When the nurse is working in the women's health care clinic, which action is appropriate to take?
 
  a. Teach a healthy 30-year-old about the need for an annual mammogram.
  b. Discuss scheduling an annual clinical breast examination with a 22-year-old.
  c. Explain to a 60-year-old that mammography frequency can be reduced to every 3 years.
  d. Teach a 28-year-old with a BRCA-1 mutation about magnetic resonance imaging (MRI).

[Pswine]

Answer to Question 1

ANS: D
Before teaching, the nurse should assess the patient's current knowledge level. The other teaching also may be appropriate, depending on the assessment findings.

Answer to Question 2

ANS: D
MRI (in addition to mammography) is recommended for women who are at high risk for breast cancer. A young woman should have a clinical breast exam every 3 years. Annual mammograms are recommended for women over 50.

[HCHenry]

Thanks for the timely response, appreciate it

[adf223]

TYSM