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Which Nursing Action Should Be Included in the Plan of Care

Question 23

Multiple Choice

Which nursing action should be included in the plan of care for a patient returning to the surgical unit after a left modified radical mastectomy with dissection of axillary lymph nodes?


A) Obtain a permanent breast prosthesis before the patient is discharged from the hospital.
B) Teach the patient to use the ordered patient-controlled analgesia (PCA) every 10 minutes.
C) Post a sign at the bedside warning against venipunctures or blood pressures in the left arm.
D) Insist that the patient examine the surgical incision when the initial dressings are removed.

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