Difficulty: Medium
Average Score: 63%
Full-length
The nurse is caring for the client with a mastectomy. Which action would be contraindicated?
Correct answer
A
Rationale
Taking blood pressure on the mastectomy side is contraindicated due to the risk of lymphedema from compromised lymphatic drainage post-surgery. Elevating the arm, positioning on the unaffected side, and fingersticks on the unaffected side are safe.