The nurse is teaching a woman receiving adjuvant hormonal therapy on how she can manage her side effects and symptoms. Which education and teaching will the nurse include? Select all that apply.

Correct Answer: B

Rationale: The correct answer is B. Vaginal dryness is a common side effect of hormonal therapy. Using vaginal moisturizers like Replens or vitamin E suppositories can help alleviate this symptom by providing moisture and lubrication. This intervention can improve the woman's comfort and quality of life during treatment. Choice A is incorrect because wearing layered clothing and avoiding caffeine and spicy foods are strategies typically recommended for managing hot flashes, not vaginal dryness. Choice C is incorrect as managing nausea and vomiting with a bland diet and medication is not directly related to the management of side effects of hormonal therapy like vaginal dryness. Choice D is incorrect as warm baths and nonsteroidal analgesics are more commonly used to ease musculoskeletal symptoms, not specifically for managing vaginal dryness.

Correct Answer: B

Rationale: The correct answer is B because wearing a tight bra immediately after postmastectomy breast reconstruction is not recommended as it can restrict blood flow and cause discomfort. A is correct because avoiding trauma is important. C is correct because draining is necessary. D is correct because skin changes should be reported.

Correct Answer: C

Rationale: Rationale for Answer C (Correct Answer): 1. Elevating the affected arm with pillows post-mastectomy helps reduce swelling and promote lymphatic drainage, aiding in preventing lymphedema. 2. By elevating the arm, it reduces strain on the surgical site and surrounding tissues, promoting comfort and aiding in the healing process. 3. This positioning also helps in preventing postoperative complications such as shoulder stiffness and contractures. Summary of Why Other Choices are Incorrect: - Choice A: While important aspects of preoperative teaching, it does not specifically address the need to elevate the affected arm post-mastectomy. - Choice B: Pain management is crucial, but it does not directly relate to the need for arm elevation post-mastectomy. - Choice D: Turning every 4 hours and coughing exercises are important for preventing complications but do not address the specific need for arm elevation post-mastectomy.

Correct Answer: B

Rationale: The correct answer is B because assessing vital signs and monitoring parenteral fluids are essential postoperative nursing actions to detect any signs of complications such as hemorrhage or fluid imbalance. This prioritizes the patient's physiological stability and safety. Elevating the affected arm (A) is important for comfort but not as immediate as monitoring vital signs. Monitoring for hemorrhage (C) is crucial but comes after ensuring the patient's physiological stability. Teaching relaxation techniques (D) is important for holistic care but is not as immediate as monitoring vital signs and fluid balance.

Correct Answer: A

Rationale: The correct answer is A: Color. When performing a breast assessment, inspecting the skin color is important to assess for any signs of redness, bruising, or discoloration which could indicate underlying issues. Thickening (B) is assessed through palpation, not inspection. Size and symmetry (C) is evaluated by comparing the breasts visually and through measurement. Venous pattern (D) is not typically a primary focus of skin inspection during a breast assessment.