A client is admitted to the hospital and is scheduled to have a modified radical mastectomy. The client asks the nurse about the surgical procedure. Which
... [Show More] explanation does the nurse give?
A. "Only the tissue is removed, leaving all the muscles and lymph nodes."
B. "The breast, axillary nodes, and superior apical nodes are removed, but the muscles are preserved."
C. "The breast, axillary nodes, and the major and minor pectoral muscles are preserved."
D. "The sternum will be split and the lymph nodes will be dissected from the mediastinum." - correct answer B. "The breast, axillary nodes, and superior apical nodes are removed, but the muscles are preserved."
In a modified radical mastectomy, the breast, axillary nodes, and superior apical nodes are removed, but the major and minor pectoral muscles are preserved.
The nurse provides care for a client receiving an oxytocin infusion to induce labor. The nurse stops the infusion if which occurs?
A. Contractions are at 3 minute intervals and last for 55 to 60 seconds.
B. Contractions are at 2 minute intervals and last 90 to 120 seconds.
C. Contractions are at 3 minute intervals and last for 80 to 90 seconds.
D. Contractions are at 2 minute intervals and last 60 to 90 seconds. - correct answer B. Contractions are at 2 minute intervals and last 90 to 120 seconds.
An adverse effect of the use of oxytocin to induce labor is uterine hyperstimulation, a serious complication of labor induction. Hyperstimulation is defined as single contractions lasting longer than 90 seconds, or five or more contractions in a 10 minute
period (less than 2 minutes of rest between contractions). It can cause impairment to
uteroplacental blood flow and result in fetal heart rate abnormalities, fetal hypoxia, and fetal damage. It is extremely important for the nurse to continually assess contractions for the client receiving an oxytocin infusion. If the client exhibits uterine hyperstimulation, the nurse should stop the infusion and notify the health care provider.
A client is pregnant for the third time. The client has one living child and has had one abortion. Which description does the nurse record?
A. Gravida III, para Il. [Show Less]