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    Med Surg 2 Proctored ExamQuestion 59
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    Med Surg 2 Proctored Exam

    A client is discharged to home after a radical mastectomy with two drainage tubes. Which statement by the client would indicate that further teaching is required?

    Explanation & Rationale

    A. "I am glad that these tubes will fall out at home when I finally shower.": Drainage tubes should never be allowed to fall out spontaneously at home, as premature removal can lead to fluid accumulation, infection, or wound dehiscence. Proper care involves securing the tubes, monitoring output, and having them removed by a healthcare professional when drainage decreases to an appropriate level. B. "I should be careful how I lie in bed so that I will not kick the tubing.": This demonstrates correct understanding. Preventing accidental pulling or kinking of the tubes protects the surgical site, prevents trauma, and ensures proper drainage, which is essential for wound healing and preventing complications such as seroma formation. C. "I should measure the drainage each day to make sure it is less than an ounce (30 mL).": Daily measurement of drainage is important for monitoring healing and determining when the tubes can be safely removed. Knowing expected output helps the client recognize abnormal increases or decreases that may require medical attention. D. "If there is a foul odor from the drainage, I will contact my primary health care provider.": Foul-smelling drainage may indicate infection and requires immediate medical evaluation. This statement reflects appropriate knowledge and readiness to seek care for potential complications, demonstrating correct understanding of postoperative care.

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