Final answer:
Postoperative teaching for a client after a modified radical mastectomy includes avoiding heavy lifting, wearing loose clothing, understanding that numbness may occur, and beginning active range-of-motion exercises when advised. Flexing the arm during ambulation is suggested to promote blood flow.
Step-by-step explanation:
A nurse providing discharge teaching to a client postoperative following a modified radical mastectomy should include several important instructions to ensure the client recovers safely and to minimize complications. The instructions should include:
- Avoid lifting heavy objects with the affected arm.
- Wear loose-fitting clothing to prevent irritation and ensure comfort.
- Begin active range-of-motion exercises as advised by a healthcare professional, usually a few days after surgery, not one day postoperative.
- Understand that numbness can occur along the inside of the affected arm due to nerve damage during surgery.
- Elevate the affected arm to reduce swelling.
- Flex the affected arm when ambulating to promote blood flow and prevent stiffness, but follow specific instructions given by the healthcare provider for your case.
- Report any signs of infection or unusual changes around the surgery site to a healthcare provider immediately.
The above instructions aim to help the client manage pain, prevent lymphedema, promote healing, and regain range of motion effectively after a modified radical mastectomy.