Page 1320 - Saunders Comprehensive Review For NCLEX-RN

FIG. 44-3 Jackson-Pratt device. A, Drainage tubes and reservoir. B, Emptying drainage
reservoir. (From Potter et al., 2013.)

Box 44-13

Client Instructions Following Mastectomy

▪ Avoid overuse of the arm during the first few months.
▪ To prevent lymphedema, keep the affected arm elevated; consultation with
lymphedema specialist may be prescribed.
▪ Provide incision care with an emollient as prescribed, to soften and prevent
wound contracture.
▪ Encourage use of support groups.
▪ Encourage the client to perform breast self-examination on the remaining breast
and surgical site once healed.
▪ Protect the affected hand and arm.
▪ Avoid strong sunlight on the affected arm.
▪ Do not let the affected arm hang dependent.
▪ Do not carry a pocketbook or anything heavy over the affected arm.
▪ Avoid trauma, cuts, bruises, or burns to the affected side.

▪ Avoid wearing constricting clothing or jewelry on the affected side.
▪ Wear gloves when gardening.
▪ Use thick oven mitts when cooking.
▪ Use a thimble when sewing.
▪ Apply hand cream several times daily.
▪ Use cream cuticle remover.
▪ Call the primary health care provider if signs of inflammation occur in the
affected arm.
▪ Wear a MedicAlert bracelet stating which arm is at risk for lymphedema.

Box 44-14
Surgical Interventions for Gastric Cancer

Subtotal Gastrectomy
Billroth I

▪ Also called gastroduodenostomy
▪ Partial gastrectomy, with remaining segment anastomosed to the duodenum

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