Author Question: A nurse is caring for a patient admitted preoperatively for a bilateral mastectomy. Which statement ... (Read 51 times)

saraeharris · **on:** Jun 27, 2018

A nurse is caring for a patient admitted preoperatively for a bilateral mastectomy. Which statement indicates that this patient is still in the shock phase of adjustment to her diagnosis?

1. I can't understand why this is happening to me..
2. I am so happy that my daughter graduates from high school this year..
3. I know that breast cancer is now part of my life..
4. I can't believe that I need to lose both of my breasts..

Question 2

The patient having her second child is scheduled for a cesarean birth because the baby is in a breech presentation. The patient states, I'm wondering what will be different this time compared with my first birth, which was vaginal.

What response is best? 1. We'll take good care of you and your baby. You'll be home before you know it.
2. You'll be wearing a sequential compression device until you start walking.
3. You will have a lot of pain, but there are medications that we give when it gets really bad.
4. You won't be able to nurse until the baby is 12 hours old, because of your epidural.

annierak · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
Rationale 1: In the shock phase, a woman makes statements such as this.
Rationale 2: Looking at the future is part of the recovery phase.
Rationale 3: Acknowledging cancer as part of one's life is the reorientation phase.
Rationale 4: In the reaction phase, a woman deals with the impending loss of the breasts.

Answer to Question 2

2
Rationale 1: This response focuses on the nurse, and does not provide specific information to answer the patient's question.
Rationale 2: The use of an SCD helps prevent thrombus formation until the patient is ambulating.
Rationale 3: Focusing on the pain is a negative emphasis. In addition, pain medications work best when they are taken as the pain is intensifying.
Rationale 4: Epidural anesthesia prevents leg function, and therefore ambulation, but does not impact a mother's ability to breastfeed.