On the fourth postoperative day after a modified radical ...

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On the fourth postoperative day after a modified radical mastectomy, the nurse finds the patient with her back to the nurse. She is crying and tells the nurse she feels ugly and is worried that her husband will not be in love with her anymore.
 
  The nurse bases subsequent nursing interventions on what diagnosis?
  a.
  Disturbed body image related to removal of her breast
  b.
  Deficient knowledge related to inadequate education
  c.
  Impaired social interaction related to depression
  d.
  Fear related to the cancer diagnosis and surgical intervention

Question 2

The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part of an exercise regimen. The patient plans to enroll in a swimming class. Which adjustment should be made based on this information?
 
  a. Time the morning insulin injection so that the peak action will occur during swimming class.
  b. Delete normal walks on swimming class days.
  c. Delay the meal before the swimming class until the session is over.
  d. Monitor glucose level before, during, and after swimming to determine the need for alterations in food or insulin.

[Viet Thy]

Answer to Question 1

ANS: A
After losing a breast, many patients experience grief over the loss of a body part. The process of grieving is essential for personal adaptation to the loss. The nurse can assist the patient to find helpful coping mechanisms.

Answer to Question 2

ANS: D
Exercise can reduce insulin resistance and increase glucose uptake for as long as 72 hours, as well as reducing blood pressure and lipid levels. However, exercise can carry some risks for patients with diabetes, including hypoglycemia.