In which position would the nurse place a client recovering from a right modified radical mastectomy who is admitted from the post-anesthesia unit?
A)High-Fowler's position with the affected side's arm resting on the bed
B)Semi-Fowler's position with the affected side's arm on several pillows
C)Supine with the affected side's arm on several pillows
D)Supine with the affected side's arm resting on the bed

Question

Quizplus · Accepted Answer

Immediately after mastectomy surgery, the client is placed in a semi-Fowler's position with the affected side's arm and hand elevated on several pillows to promote drainage and prevent venous and lymphatic pooling. Flexing and bending of the affected side's fingers is begun immediately with gradual increase in arm movement over the next few postoperative days. Postoperative arm and shoulder exercises are initiated slowly with the goal of full range of motion of the affected side within 4-6 weeks of the mastectomy. (Option A) Placing the client in a high-Fowler's position immediately after anesthesia might cause a decrease in blood pressure and subsequent dizziness. Resting the affected side's arm on the bed would place the arm in a dependent position, which would lead to swelling due to decrease in lymphatic and venous drainage. (Options C and D) Raising the head of the bed slightly would promote ease of breathing. Resting the arm on several pillows would promote drainage and prevent lymphatic pooling. Educational objective: Immediately post mastectomy, the client is placed in a semi-Fowler's position to promote ease of breathing. The affected side's arm and hand should be elevated on several pillows to promote drainage and prevent lymphatic pooling.

In Which Position Would the Nurse Place a Client Recovering