A client is scheduled for a prophylactic mastectomy. The nurse ...

[OSWALD]

A client is scheduled for a prophylactic mastectomy. The nurse should remind the client that skin flaps will be left after the surgery for:
 
  1. reconstruction.
  2. suturing to the chest wall.
  3. possible use for other skin disorders.
  4. donation for someone needing a skin transplant.

Question 2

The nurse is assessing a client who is demonstrating clinical manifestations of Paget's disease. The nurse realizes that which of the following diagnostic tests will aid in the diagnosis of this disorder?
 
  1. Chest x-ray
  2. Hand x-ray
  3. Serum albumin level
  4. Serum alkaline phosphatase level

[fwbard]

Answer to Question 1

1
The goal of a mastectomy is to remove all breast tissue, including the nipple and areola, while leaving well-perfused viable skin flaps for primary closure or reconstruction. The skin flaps will not be sutured to the chest wall. The skin flaps are not for use for other skin disorders. The skin flaps are not for donation for someone needing a skin transplant.

Answer to Question 2

4
An increase in serum alkaline phosphatase is often the first indication that the client's symptoms are associated with Paget's disease. Values of two to three times normal indicates the disease. X-rays of the long bones and skull aid in the diagnosis of the disorder, not x-rays of the chest or hands. Serum albumin level is not used to diagnose Paget's disease.

[OSWALD]

Thank you

[fwbard]

Happy to help you