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  • Oncology - Breast Cancer - Mastectomy

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    Ella Mejia
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    A mastectomy involves surgically removing all or part of the breast, and sometimes lymph nodes, to treat breast cancer. This places the patient at higher risk for infection and swelling. The nurse's plan of care should include instructing the patient that the surgical drain will be removed when drainage is 25mL or less within a 24 hour period. Interventions to prevent infection are most important after a bilateral mastectomy and lymph node removal. Teaching should include instructions to elevate the affected arm above the heart level to prevent lymphedema.

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    A mastectomy involves surgically removing all or part of the breast, and sometimes lymph nodes, to treat breast cancer. This places the patient at higher risk for infection and swelling. The nurse's plan of care should include instructing the patient that the surgical drain will be removed when drainage is 25mL or less within a 24 hour period. Interventions to prevent infection are most important after a bilateral mastectomy and lymph node removal. Teaching should include instructions to elevate the affected arm above the heart level to prevent lymphedema.

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    27 views1 page

    Oncology - Breast Cancer - Mastectomy

    Uploaded by

    Ella Mejia
    A mastectomy involves surgically removing all or part of the breast, and sometimes lymph nodes, to treat breast cancer. This places the patient at higher risk for infection and swelling. The nurse's plan of care should include instructing the patient that the surgical drain will be removed when drainage is 25mL or less within a 24 hour period. Interventions to prevent infection are most important after a bilateral mastectomy and lymph node removal. Teaching should include instructions to elevate the affected arm above the heart level to prevent lymphedema.

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    © All Rights Reserved
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    of 1

    Breast Cancer &

    Mastectomy
    Med Surg: Oncology (Cancer)

    Mastectomy
    A mastectomy is surgery to remove the whole breast or partial
    breast & sometimes lymph nodes are removed, which
    places the client at higher risk for both infection & swelling.

    Post-Operative KAPLAN HESI


    Q1: 24 hours postoperative after a ...
    Mastectomy of the right breast … Which
    Blood drainage: Jackson Pratt bulb intervention should the nurse include in
    mastectomy ... Which nursing intervention
    is most appropriate for this patient?
    the plan of care?
    Monitor the patient for signs of shock
    REPORT to HCP: Instruct the client that the drain will be
    removed when there is 25mL or less of
    or hemorrhage

    drainage within a 24 hour period Q2: Bilateral mastectomy and removal of


    Over 100 mL “bright red” the axillary lymph nodes. Interventions to
    prevent which complication will be most
    important after surgery?
    Infection
    PRIORITY
    24
    HCP
    1 hours

    >100 ml

    Teaching

    KAPLAN
    Key Points NCLEX
    Discharge teaching ... postoperative radical
    AVOID affected arm mastectomy. Which of the following
    NO IV & Blood Draws instructions should the nurse include?

    Numbness can occur along the inside


    NO Vaccines of the affected arm
    NO Blood pressure
    Prevent Swelling
    Saunders
    Compression sleeve
    Q1: Following a mastectomy ... Which
    Elevate arm above the heart nursing intervention would assist in
    preventing lymphedema of the affected
    Perform exercises arm?
    Elevating the affected arm on a pillow
    NORMAL “Expected” above heart level
    Numbness Q2: Mastectomy … 2 weeks ago... she has
    numbness in the area of the surgery … the
    Lymph Node swelling nurse should provide which information to
    the client?
    These sensations dissipate over several
    months and usually resolve after a year

    Notes

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