ATI NCLEX-RN Practice Questions Practice Question

The nurse is caring for the client with a mastectomy. Which action would be contraindicated?

Correct Answer: A

Rationale: Taking blood pressure on the mastectomy side is contraindicated due to the risk of lymphedema from compromised lymphatic drainage post-surgery. Elevating the arm, positioning on the unaffected side, and fingersticks on the unaffected side are safe.

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