Your patient has a left mastectomy with lymph nodes removed. Which of the following precautions need to be implemented?

 

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Correct

- Left limb alert

- Right limb alert

- Bleeding precautions

- Contact precautions

Rationale

When lymph nodes are removed, there is increased risk for lymphedema. Therefore, IV starts, injections, blood pressure monitoring, as well as any needlesticks at all must be avoided in the arm on the side of the lymph node removal. Bleeding or contact precautions are not indicated.

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