AH2 Exam #1 PrepU Questions

When performing endotracheal suctioning, the nurse applies suctioning while withdrawing and gently rotating the catheter 360 degrees for how long? 0 to 5 seconds 10 to 15 seconds 30 to 35 seconds 20 to 25 seconds

10 to 15 seconds

A client presents to the emergency department reporting chest pain. Which order should the nurse complete first? 12-lead ECG 2 L oxygen via nasal cannula Troponin level Aspirin 325 mg orally

12-lead ECG

A 1-minute electrocardiogram (ECG) tracing of a client with a regular heart rate reveals 25 small, square boxes within an RR interval. The nurse correctly identifies the client heart rate as 60 bpm. 100 bpm. 80 bpm. 70 bpm.

60 bpm

The nurse received a client from the post-anesthesia care unit (PACU) who has a chest tube to a closed drainage system. Report from the PACU nurse included drainage in the chest tube at 80 mL of bloody fluid. Fifteen minutes after transfer from the PACU, the chest tube indicates drainage as pictured. The client is reporting pain at "8" on a scale of 0 to 10. The first action of the nurse is to: Notify the physician. Assess pulse and blood pressure. Administer prescribed pain medication. Lay the client's head to a flat position.

Assess pulse and blood pressure.

Treatment of symptomatic bradycardia includes which of the following? Atropine Lidocaine Cardioversion Adenocard

Atropine

A client with chest pain arrives in the emergency department and receives nitroglycerin, morphine (Duramorph), oxygen, and aspirin. The physician diagnoses acute coronary syndrome. When the client arrives on the unit, his vital signs are stable and he has no complaints of pain. The nurse reviews the physician's orders. In addition to the medications already given, which medication does the nurse expect the physician to order? Carvedilol (Coreg) Digoxin (Lanoxin) Furosemide (Lasix) Nitroprusside (Nipride)

Carvedilol (Coreg)

The nurse is assessing a client with mitral regurgitation. The nurse expects to note which of the following findings in this client? Dyspnea, fatigue, and weakness Dizziness, syncope, and palpitations Orthopnea, angina, and pulmonary edema Dry cough, wheezing, and hemoptysis

Dyspnea, fatigue, and weakness

Which of the following would be a factor that may decrease myocardial contractility? Acidosis Alkalosis Sympathetic activity Administration of digoxin (Lanoxin)

Acidosis

A client diagnosed with breast cancer has developed neutropenia secondary to chemotherapy. Which of the following would the nurse anticipate as being ordered to address the neutropenia? Select all that apply. Filgrastim Epoetin alfa Pegfilgrastim Ondansetron Paclitaxel

Filgrastim Pegfilgrastim

A sputum study has been ordered for a client who has developed coarse chest crackles and a fever. At what time should the nurse best collect the sample? Immediately after a meal First thing in the morning At bedtime After a period of exercise

First thing in the morning

You are caring for a client who has premature ventricular contractions. What sign or symptom is observed in this client? Fluttering/heart skipping Nausea Hypotension Fever

Fluttering/heart skipping

A nurse is caring for a client after a lung biopsy. Which assessment finding requires immediate intervention? Respiratory rate of 44 breaths/minute Oxygen saturation level of 96% on 3 L of oxygen Client stating pain level of 7 out of 10 that decreases with pain medication Client dozing when left alone but awakening easily

Respiratory rate of 44 breaths/minute

Constant bubbling in the water seal of a chest drainage system indicates which problem? Air leak Tidaling Tension pneumothorax Increased drainage

Air leak

What is the drug of choice for a stable client with ventricular tachycardia? Atropine Amiodarone Procainamide Lidocaine

Amiodarone

A health care provider tells a breast cancer client that he is going to prescribe hormone therapy that has been found to significantly reduce mortality. Which drug would most likely be prescribed? Lapatinib Bevacizumab Tamoxifen Trastuzumab

Tamoxifen

A nurse is teaching a client how to take nitroglycerin to treat angina pectoris. The client verbalizes an understanding of the need to take up to three sublingual nitroglycerin (Nitrostat) tablets at 5-minute intervals, if necessary, and to notify the physician immediately if chest pain doesn't subside within 15 minutes. The nurse tells the client that, after taking the nitroglycerin, he may experience: nausea, vomiting, depression, fatigue, and impotence. sedation, nausea, vomiting, constipation, and respiratory depression. headache, hypotension, dizziness, and flushing. flushing, dizziness, headache, and pedal edema.

headache, hypotension, dizziness, and flushing.

The client is postoperative for a total laryngectomy and has recovered from anesthesia. The client's respirations are 32 breaths/minute, blood pressure is 102/58, and pulse rate is 104 beats/minute. Pulse oximetry is 90%. The client is receiving humidified oxygen. To aid in the client's respiratory status, the nurse places the client in which position?

semi-fowlers

The staff educator is presenting a class on cardiac dysrhythmias. How would the educator describe the characteristic pattern of the atrial waves in atrial flutter? Sinusoidal Triangular Sawtooth Square

Sawtooth

Which term is used to describe the inability to breathe easily except in an upright position? Dyspnea Orthopnea Hemoptysis Hypoxemia

Orthopnea

A nurse is evaluating a client who had a myocardial infarction (MI) 7 days earlier. Which outcome indicates that the client is responding favorably to therapy? -The client demonstrates ability to tolerate more activity without chest pain. -The client exhibits a heart rate above 100 beats/minute. -The client verbalizes the intention of making all necessary lifestyle changes except for stopping smoking. -The client states that sublingual nitroglycerin usually relieves his chest pain.

-The client demonstrates ability to tolerate more activity without chest pain.

The client is receiving adjuvant chemotherapy for breast cancer. Which is most likely her node status and tumor size? Node negative, tumor size 0.3 cm Node negative, tumor size 0.5 cm Node negative, tumor size 1.2 cm Node negative, tumor size 0.2 cm

Node negative, tumor size 1.2 cm

What ECG findings does the nurse observe in a patient who has had a myocardial infarction (MI)? (Select all that apply.) An absent P wave An abnormal Q wave T-wave inversion ST-segment elevation Prolonged P-R interval

An abnormal Q wave T-wave inversion ST-segment elevation

A terminally ill client has feelings of rage toward the nurse. According to Elisabeth Kübler-Ross, the patient is in which stage of dying? Denial Anger Bargaining Depression

Anger

A nurse is caring for a client who is exhibiting signs and symptoms characteristic of a myocardial infarction (MI). Which statement describes priorities the nurse should establish while performing the physical assessment? Assess the client's level of pain and administer prescribed analgesics. Assess the client's level of anxiety and provide emotional support. Prepare the client for pulmonary artery catheterization. Ensure that the client's family is kept informed of his status.

Assess the client's level of pain and administer prescribed analgesics.

A nurse completes a shift assessment on a client admitted to the telemetry unit with a diagnosis of syncope. The client's heart rate is 55 bpm with a blood pressure of 90/66 mm Hg. The client is also experiencing dizziness and shortness of breath. Which medication will the nurse anticipate administering to the client based on these clinical findings? Atropine Lidocaine Pronestyl Cardizem

Atropine

The nurse is caring for a client diagnosed with unstable angina who is receiving IV heparin. The client requires bleeding precautions. Bleeding precautions include which measure? Avoid continuous BP monitoring Avoid subcutaneous injections Use an electric toothbrush Avoid the use of nail clippers

Avoid continuous BP monitoring

A client undergoes a biopsy of a suspicious lesion. The biopsy report classifies the lesion according to the TNM staging system as follows: TIS, N0, M0. What does this classification mean? No evidence of primary tumor, no abnormal regional lymph nodes, and no evidence of distant metastasis Carcinoma in situ, no abnormal regional lymph nodes, and no evidence of distant metastasis Can't assess tumor or regional lymph nodes and no evidence of metastasis Carcinoma in situ, no demonstrable metastasis of the regional lymph nodes, and ascending degrees of distant metastasis

Carcinoma in situ, no abnormal regional lymph nodes, and no evidence of distant metastasis

he nurse enters the client's room and finds the client pulseless and unresponsive. What would be the treatment of choice for this client? IV lidocaine Chemical cardioversion Immediate defibrillation Electric cardioversion

Immediate defibrillation

The nurse is caring for a client at risk for atelectasis. The nurse implements a first-line measure to prevent atelectasis development in the client. What is an example of a first-line measure to minimize atelectasis? Incentive spirometry Intermittent positive-pressure breathing (IPPB) Positive end-expiratory pressure (PEEP) Bronchoscopy

Incentive spirometry

An ED nurse is assessing a 71-year-old female client for a suspected MI. When planning the assessment, the nurse should be cognizant of what signs and symptoms of MI that are particularly common in female clients? Select all that apply. Shortness of breath Chest pain Anxiety Indigestion Nausea

Indigestion Nausea

A medical nurse has admitted a client to the unit with a diagnosis of failure to thrive. The client has developed a fever and cough, so a sputum specimen has been obtained. The nurse notes that the sputum is greenish and that there is a large quantity of it. The nurse notifies the client's physician because these symptoms are suggestive of what? Pneumothorax Lung tumors Infection Pulmonary edema

Infection

A client is treated in the intensive care unit (ICU) following an acute myocardial infarction (MI). During the nursing assessment, the client reports shortness of breath and chest pain. In addition, the client's blood pressure (BP) is 100/60 mm Hg with a heart rate (HR) of 53 bpm, and the electrocardiogram (ECG) tracing shows more P waves than QRS complexes. Which action should the nurse complete first? Initiate transcutaneous pacing Prepare for defibrillation Administer 1 mg of IV atropine Obtain a 12-lead ECG

Initiate transcutaneous pacing

The nurse is in the radiology unit of the hospital. The nurse is caring for a client who is scheduled for a lung scan. The nurse knows that lung scans need the use of radioisotopes and a scanning machine. Before the perfusion scan, what must the client be assessed for? Bleeding Iodine allergy Dysrhythmias Inflammation

Iodine allergy

Which of the following is the nurse's primary concern when providing end-of-life care for a client and the family? Select all that apply. Maintaining client comfort Arranging plans for after death Supporting family members Providing personal care Completing a head-to-toe assessment Encouraging fluids

Maintaining client comfort Supporting family members Providing personal care

For a client who has a chest tube connected to a closed water-seal drainage system, the nurse should include which action in the care plan? Measuring and documenting the drainage in the collection chamber Maintaining continuous bubbling in the water-seal chamber Keeping the collection chamber at chest level Stripping the chest tube every hour

Measuring and documenting the drainage in the collection chamber

Which assessments should a nurse perform when caring for a client following a cardiac catheterization? Select all that apply. Monitor BP and pulse frequently. Inspect pressure dressing for signs of bleeding. Palpate the pulse in different locations. Inspect the color in every extremity. Palpate the insertion site for tenderness.

Monitor BP and pulse frequently. Inspect pressure dressing for signs of bleeding. Palpate the pulse in different locations.

A client is undergoing preoperative teaching before his cardiac surgery and the nurse is aware that a temporary pacemaker will be placed later that day. What is the nurse's responsibility in the care of the client's pacemaker? Monitoring for pacemaker malfunction or battery failure Determining when it is appropriate to remove the pacemaker Making necessary changes to the pacemaker settings Selecting alternatives to future pacemaker use

Monitoring for pacemaker malfunction or battery failure

After 2-hour onset of acute chest pain, the client is brought to the emergency department for evaluation. Elevation of which diagnostic findings would the nurse identify as suggestive of an acute myocardial infarction at this time? Troponin I Myoglobin WBC (white blood cell) count C-reactive protein

Myoglobin

A client admitted with multiple traumatic injuries receives massive fluid resuscitation. Later, the physician suspects that the client has aspirated stomach contents. The nurse knows that this client is at highest risk for: chronic obstructive pulmonary disease (COPD). bronchial asthma. acute respiratory distress syndrome (ARDS). renal failure.

acute respiratory distress syndrome (ARDS).

A client has a blockage in the proximal portion of a coronary artery. After learning about treatment options, the client decides to undergo percutaneous transluminal coronary angioplasty (PTCA). During this procedure, the nurse expects to administer an: antibiotic. anticoagulant. antihypertensive. anticonvulsant.

anticoagulant.

A client's Holter monitor strip reveals a heart rate with normal conduction but with a rate consistently above 105 beats/minute. What type of dysrhythmia would the cardiologist likely diagnose? sinus tachycardia sinus bradycardia supraventricular tachycardia supraventricular bradycardia

sinus tachycardia

A patient has been taught how to perform breast self-examination. After standing in front of a mirror and checking both breasts for anything unusual, which of the following would the patient do next?

standing up straight with hands held up behind head

A nurse and nursing student are caring for a client with coronary heart disease and providing information about the disease process to the client. When client care is completed, the student asks the nurse what things stimulate the heart to beat faster. The correct response would be which of the following? "Anything that stimulates the sympathetic nervous systerm (positive chronotropy)" "Anything that stimulates the parasympathetic nervous system (negative chronotropy)" "Hypothyroidism" "Beta-adrenergic blocking agents"

"Anything that stimulates the sympathetic nervous systerm (positive chronotropy)"

A client is recovering from coronary artery bypass graft (CABG) surgery. Which nursing diagnosis takes highest priority at this time? -Decreased cardiac output related to depressed myocardial function, fluid volume deficit, or impaired electrical conduction -Anxiety related to an actual threat to health status, invasive procedures, and pain -Disabled family coping related to knowledge deficit and a temporary change in family dynamics -Hypothermia related to exposure to cold temperatures and a long cardiopulmonary bypass time

-Decreased cardiac output related to depressed myocardial function, fluid volume deficit, or impaired electrical conduction

The nurse has been asked to teach a patient how to self-administer nitroglycerin. The nurse should instruct the patient to do which of the following? Select all of the teaching points that apply. -Put some of the tablets in a small metal or plastic pillbox that can be easily carried at all times and be accessible quickly, when needed. -Let the tablet dissolve in the mouth and keep the tongue still. The tablet can be crushed between the teeth but not swallowed. -Keep the tablets at home on the kitchen counter or bedside table so they can be reached quickly. -Renew the supply every 6 months. -Take the tablet in anticipation of any activity that can produce pain. -Call emergency services if, after taking three tablets (one every 5 minutes), pain persists.

-Renew the supply every 6 months. -Let the tablet dissolve in the mouth and keep the tongue still. The tablet can be crushed between the teeth but not swallowed. -Take the tablet in anticipation of any activity that can produce pain. -Call emergency services if, after taking three tablets (one every 5 minutes), pain persists.

A nurse is caring for a terminally ill client who is receiving chemotherapy and radiation for an aggressive lung cancer. The treatment success is limited in shrinking the tumor, and the treatments are making the client very ill. The client states, "I feel that I would like to stop treatments. I would like to enjoy the time that I have remaining with my family." Which emotional reaction does the nurse recognize that the client is experiencing? Denial Bargaining Anger Acceptance

Acceptance

The nurse is caring for an adolescent client injured in a snowboarding accident. The client has a head injury, a fractured right rib, and various abrasions and contusions. The client has a blood pressure of 142/88 mm Hg, pulse of 102 beats/minute, and respirations of 26 breaths/minute. Which laboratory test best provides data on a potential impairment in ventilation? Blood gases Complete blood count Blood chemistry Serum alkaline phosphate

Blood gases

The nurse is caring for a client who has just undergone catheter ablation therapy. The nurse in the step-down unit should prioritize what assessment? Cardiac monitoring Monitoring the implanted device signal Pain assessment Monitoring the client's level of consciousness (LOC)

Cardiac monitoring

Which is a true statement regarding hospice care? Clients have a life expectancy of 6 months or less. It is cure-focused. It encourages the prolongation of life through artificial means. Patients have an acute illness.

Clients have a life expectancy of 6 months or less.

The nurse is reviewing the laboratory results for a patient having a suspected myocardial infarction (MI). What cardiac-specific isoenzyme does the nurse observe for myocardial cell damage? Alkaline phosphatase Creatine kinase MB Myoglobin Troponin

Creatine kinase MB

The nurse is caring for a client who is displaying a third-degree AV block on the EKG monitor. The client is symptomatic due to the slow heart rate. The most appropriate nursing diagnosis for this client would be which of the following? Decreased cardiac output Ineffective health maintenance Ineffective breathing pattern Risk for vascular trauma

Decreased cardiac output

A nurse is caring for a client who is exhibiting ventricular tachycardia (VT). Because the client is pulseless, the nurse should prepare for what intervention? Defibrillation ECG monitoring Implantation of a cardioverter defibrillator Angioplasty

Defibrillation

While conducting the physical examination during assessment of the respiratory system, which conditions does the nurse assess by inspecting and palpating the trachea? Evidence of exudate Color of the mucous membranes Deviation from the midline Evidence of muscle weakness

Deviation from the midline

A nurse is teaching nitroglycerin to a client with hospitalized client with coronary artery disease who is being discharged. The nurse tells the client that nitroglycerin has which of the following actions? Choose all that apply. Reduces myocardial oxygen consumption Decreases the urge to use tobacco Dilates blood vessels Decreases ischemia Relieves pain

Dilates blood vessels Decreases ischemia Relieves pain Reduces myocardial oxygen consumption

Anorexia and cachexia are common problems at the end of life. The nurse plays an important role in managing symptoms and preventing complications. Which of the following are appropriate nursing interventions for these problems? Select all that apply. Advise the patient and family about the importance of a balanced diet. Encourage the patient to eat in an upright position. Suggest a daily weighing time to monitor treatment plan. Recommend that the patient eat when hungry, regardless of usual meal times. Teach the patient how to increase the nutritional value of meals (i.e., add dry milk powder to milk).

Encourage the patient to eat in an upright position. Recommend that the patient eat when hungry, regardless of usual meal times. Teach the patient how to increase the nutritional value of meals (i.e., add dry milk powder to milk).

Nursing students are reviewing various procedures that can be used to obtain a tissue biopsy of the breast. They demonstrate understanding of the material when they identify which of the following as being done using local anesthesia and intravenous (IV) sedation? Select all that apply. Fine-needle aspiration Excisional biopsy Stereotactic biopsy Wire needle localization Core needle biopsy

Excisional biopsy Wire needle localization

When the postcardiac surgical patient demonstrates vasodilation, hypotension, hyporeflexia, slow gastrointestinal motility (hypoactive bowel sounds), lethargy, and respiratory depression, the nurse suspects which electrolyte imbalance? Hypokalemia Hyperkalemia Hypermagnesemia Hypomagnesemia

Hypermagnesemia

The nurse explains to the patient with PACs that there are many causes, some of which are modifiable. Select all the possible causes. Hyperkalemia Hypoxemia Atrial ischemia Hypovolemia Alcohol Anxiety

Hypoxemia Atrial ischemia Alcohol Anxiety

A nurse is caring for a client after a thoracotomy for a lung mass. Which nursing diagnosis should be the first priority? Anxiety Impaired gas exchange Impaired physical mobility Deficient knowledge: Home care

Impaired gas exchange

A critical care nurse is caring for a client with a pulmonary artery catheter in place. What does this catheter measure that is particularly important in critically ill clients? Pulmonary artery systolic pressure Right ventricular afterload Pulmonary artery pressure Left ventricular preload

Left ventricular preload

A client is undergoing a left modified radical mastectomy for breast cancer. Postoperatively, blood pressure should be obtained from the right arm, and the client's left arm and hand should be elevated as much as possible to prevent which condition? Lymphedema Trousseau's sign IV infusion infiltration Muscle atrophy

Lymphedema

A nurse should obtain serum levels of which electrolytes in a client with frequent episodes of ventricular tachycardia? Calcium and magnesium Potassium and calcium Magnesium and potassium Potassium and sodium

Magnesium and potassium

The nurse is writing a plan of care for a client with a cardiac dysrhythmia. What would be the priority goal for the client? Maintain a resting heart rate below 70 bpm. Maintain adequate control of chest pain. Maintain adequate cardiac output. Maintain normal cardiac structure.

Maintain adequate cardiac output.

A client is brought to the emergency department following a motor vehicle accident. Which of the following nursing assessments is significant in diagnosing this client with flail chest? Respiratory acidosis Paradoxical chest movement Chest pain on inspiration Clubbing of fingers and toes

Paradoxical chest movement

After undergoing a left thoracotomy, a client has a chest tube in place. When caring for this client, the nurse must: report fluctuations in the water-seal chamber. clamp the chest tube once every shift. encourage coughing and deep breathing. milk the chest tube every 2 hours.

encourage coughing and deep breathing.

The nurse observes an electrocardiogram (ECG) tracing on a cardiac monitor with a pattern in lead II as well as a bizarre, abnormal shape to the QRS complex. The nurse has likely observed which ventricular dysrhythmia? Ventricular bigeminy Ventricular tachycardia Premature ventricular contraction Ventricular fibrillation

Premature ventricular contraction

The nurse is caring for a client who has returned to the unit following a bronchoscopy. The client is asking for something to drink. Which criterion will determine when the nurse should allow the client to drink fluids? Presence of a cough and gag reflex Absence of nausea Ability to demonstrate deep inspiration Oxygen saturation of ≥92%

Presence of a cough and gag reflex

A client is prescribed postural drainage because secretions are building in the superior segment of the lower lobes. Which is the best position to teach the client to use for postural drainage?

Prone with a pillow underneath the hips

A patient is receiving chemotherapy for breast cancer. Her most recent laboratory test results are as follows: Erythrocytes 4,500,000/cu mm Hemoglobin 12.0 gm/dL Hematocrit 35% Leukocytes 4,600 gm/dL Thrombocytes 125,000/cu mm Which results suggests some evidence of bone marrow suppression? Erythrocyte count Hemoglobin level Leukocyte count Thrombocyte count

Thrombocyte count

The nurse is working on a monitored unit assessing the cardiac monitor rhythms. Which waveform pattern needs attention first? Sustained asystole Supraventricular tachycardia Atrial fibrillation Ventricular fibrillation

Ventricular fibrillation

After lobectomy for lung cancer, a client receives a chest tube connected to a disposable chest drainage system. The nurse observes that the drainage system is functioning correctly when she notes tidal movements or fluctuations in which compartment of the system as the client breathes? Water-seal chamber Air-leak chamber Collection chamber Suction control chamber

Water-seal chamber

A nurse is caring for a client receiving chemotherapy. Which nursing action is most appropriate for handling chemotherapeutic agents? Wear disposable gloves and protective clothing. Break needles after the infusion is discontinued. Disconnect I.V. tubing with gloved hands. Throw I.V. tubing in the trash after the infusion is stopped.

Wear disposable gloves and protective clothing.

The nurse is caring for an 82-year-old client. The nurse knows that changes in cardiac structure and function occur in older adults. What is a normal change expected in the aging heart of an older adult? Decreased left ventricular ejection time Decreased connective tissue in the SA and AV nodes and bundle branches Thinning and flaccidity of the cardiac values Widening of the aorta

Widening of the aorta

A nurse is teaching a group of women about the potential benefits of breast self-examination (BSE). The nurse should teach the women that effective BSE is dependent on what factor? Women's knowledge of how their breasts normally look and feel The rapport that exists between the woman and her primary care provider Synchronizing women's routines around BSE with the performance of mammograms Women's knowledge of the pathophysiology of breast cancer

Women's knowledge of how their breasts normally look and feel

A client is admitted for treatment of Prinzmetal's angina. When developing this client's care plan, the nurse should keep in mind that this type of angina can result from: activities that increase myocardial oxygen demand. an unpredictable amount of activity. coronary artery spasm. the same type of activity that caused previous angina episodes.

coronary artery spasm.

During chemotherapy, an oncology client has a nursing diagnosis of Impaired oral mucous membrane related to decreased nutrition and immunosuppression secondary to the cytotoxic effects of chemotherapy. Which nursing intervention is most likely to decrease the pain of stomatitis? Recommending that the client discontinue chemotherapy Providing a solution of viscous lidocaine for use as a mouth rinse Monitoring the client's platelet and leukocyte counts Checking regularly for signs and symptoms of stomatitis

Providing a solution of viscous lidocaine for use as a mouth rinse

Erythropoietin growth factor increases production of which of the following? Red blood cells White blood cells Platelets Plasma

Red blood cells

A client has been receiving chemotherapy to treat cancer. Which assessment finding suggests that the client has developed stomatitis? White, cottage cheese-like patches on the tongue Yellow tooth discoloration Red, open sores on the oral mucosa Rust-colored sputum

Red, open sores on the oral mucosa

A client is receiving chemotherapy to treat breast cancer. Which assessment finding indicates a chemotherapy-induced complication? Urine output of 400 ml in 8 hours Serum potassium level of 2.6 mEq/L Blood pressure of 120/64 to 130/72 mm Hg Sodium level of 142 mEq/L

Serum potassium level of 2.6 mEq/L

A client who is to have breast conservation surgery is also to undergo a setinel lymph node biopsy (SLNB). Which of the following would the nurse include in the client's preoperative teaching plan? The client will most likely be admitted for an overnight stay. The client's urine may have a blue-green discoloration in the first 24 hours. The client has an increased risk for developing lymphedema. The client will need less emotional support because the procedure is less invasive.

The client's urine may have a blue-green discoloration in the first 24 hours.