RN ATI Capstone Proctored Comprehensive Assessment A

Cancer disorders: Planning discharge teaching for a client who is postoperative following a modified radical mastectomy-AMS Chapter 92 • Modified radical mastectomy: lymph nodes removed • Nursing Actions: Have the client sit with the head of the bed elevated 30° when awake and support her arm on a pillow. Lying on the unaffected side can relieve pain. Have the client wear a sling while ambulating (to support arm). Avoid administering injections, taking blood pressure, or obtaining blood from the client’s affected arm. Please a sign above the client’s bed regarding these precautions. Emphasize the importance of well-fitted breast prosthesis for a client who had a mastectomy. Provide emotional support to the client and her family Encourage the client to express feelings related to perception of sexuality and body image. • Client education: Teach the client how to care for her incision and drainage tubes (drains are usually left in for 1 to 3 weeks) Advise the client to avoid placing her arm in a dependent position. This position will interfere with wound healing. Encourage early arm and hand exercises (squeezing a rubber ball, elbow flexion and extension), and hand-wall climbing to prevent lymphedema and to regain full range of motion Teach the client not to wear constrictive clothing and to avoid cuts and injuries on the affected arm. Continuity of care: Interventions promoting independence- CH Chapter 7 • Community health nurses play a large role in maintaining continuity of care for clients as they transition from acute to outpatient settings and promote independence. • Group partnering to elicit needed change in the community are more powerful than a nurse working independently with an individual. • Nursing interventions: Initiate necessary consults, or notify the provider of the client’s needs so the provider can initiate a consult. Seek expertise from health care professionals representing a variety of disciplines. ......................................................................................................CONTINUE