What is a crucial component of a nurse's role in preventing lymphedema in a patient post-mastectomy?
Advising the patient to avoid all physical activity to prevent strain
Encouraging the use of compression garments on the affected arm
Instructing the patient to apply heat to the affected arm to reduce swelling
Recommending the patient to keep the arm elevated at all times
The Correct Answer is B
A. Advising the patient to avoid all physical activity to prevent strain:
Complete avoidance of activity can lead to stiffness and muscle atrophy. Gentle activity is encouraged.
B. Encouraging the use of compression garments on the affected arm:
Compression garments help prevent or reduce lymphedema by promoting lymph drainage in the affected arm.
C. Instructing the patient to apply heat to the affected arm to reduce swelling:
Heat can exacerbate swelling and inflammation and should be avoided.
D. Recommending the patient to keep the arm elevated at all times:
While occasional elevation may help, constant elevation is impractical and unnecessary. It is not the primary prevention strategy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Infection:
The elevated WBC count and abnormal differential, along with symptoms of fever and chills, point to an active infection, which is consistent with recent exposure to ill children and no flu vaccine.
B. Thrombocytopenia:
Thrombocytopenia refers to a low platelet count, which was not provided or implied in the lab data.
C. Leukemia:
While leukemia can cause elevated WBCs, this client’s clinical picture fits a common infection, and leukemia typically presents with more severe or chronic symptoms and abnormal blood cell morphology.
D. Anemia:
The client’s hemoglobin and hematocrit are above normal, which rules out anemia.
Correct Answer is D
Explanation
A. "These organs are used in digestion."
They are part of the lymphatic/immune system, not the digestive system.
B. "These organs assist with vitamin absorption."
Vitamin absorption is mainly the role of the intestines.
C. "These organs regulate electrolyte balance."
Electrolyte balance is regulated by kidneys and endocrine organs.
D. "These organs are for immunity."
The thymus matures T cells, the spleen filters blood and responds to infection, and lymph nodes trap and destroy pathogens.
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