Final answer:
Postoperative care following a modified radical mastectomy includes warning the patient about potential numbness along the inside of the affected arm, avoiding active ROM exercises prematurely, and wearing loose-fitting clothing to prevent irritation of the surgical site. Collaboration among the medical team is essential in reviewing these care instructions with the patient.
Step-by-step explanation:
When providing discharge teaching to a client who is postoperative following a modified radical mastectomy, a nurse should include several important instructions. It is important to note that flexing the affected arm when ambulating might not be recommended immediately following surgery, instead, arm movement should be gradually introduced as per the surgeon's advice to facilitate recovery without causing undue strain.
Numbness can occur along the inside of the affected arm, which is a normal postoperative sensation due to the surgical procedure affecting nerves in the area. Therefore, advising the patient about possible numbness is essential for their awareness and preparation.
It's also crucial for patients to avoid starting active range of motion (ROM) exercises too soon after surgery. The patient should typically begin gentle ROM exercises, as instructed by a healthcare provider, to prevent stiffness without compromising the surgical site.
Lastly, patients should be advised against dressing in clothing that fits snugly as this can irritate the surgical area and possibly hinder the healing process. Loose-fitting clothing is generally recommended to avoid pressure on the incision site.
Additionally, the patient's care team, including the surgeon, nurse, and anesthesiologist, should review aloud the key concerns for recovery and care, which may include pain management, signs of infection, activity restrictions, and follow-up appointments. This collaborative review ensures that the patient receives consistent and thorough guidance.