Answer: The further instructions and teaching that si needed by the female client is that she should WEAR GLOVES AND PROTECTIVE CLOTHINGS TO AVOID ANY INJURIES.
Explanation: Mastectomy is is a surgical procedure that involves complete or partial removal of the tissues of the breast inorder to prevent or treat breast cancer.
In the case of the scenerio presented in the question, it is imperative that the nurse tell the client or recommend that the client wear gloves gloves when doing any form of work like working in the backyard or housework inorder to prevent injuries ,these injuries that are being prevented if contracted may become infected or heal slowly.
When the client works,there is promotion of feeling of usefulness,meeting a need,sense of fulfillment,this in-turn has a positive effect on the client's ability to cope with her health condition and also boost/enhance her self esteem.
Advice should also be given to her on strict compliance to follow up visits,that is making sure that her follow up visits are frequent.however,it's is worthy to more that,all these won't help in any way to prevent untoward injury.