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 C
Explanation
A. Concerned only with destroying RBCs
Only the spleen is partly involved in RBC destruction-this doesn’t apply to all listed organs.
B. Confined to the thoracic cavity
These organs are located in different parts of the body-e.g., spleen in the abdomen, lymph nodes throughout the body.
C. Lymphoid organs
These are all components of the lymphatic/immune system, involved in immune surveillance and lymphocyte production.
D. Concerned only with phagocytosis
While some have phagocytic activity (e.g., macrophages in lymph nodes), their functions go far beyond phagocytosis (e.g., immune cell activation).
Correct Answer is B
Explanation
A. The virus affects the red blood cells
HIV primarily affects CD4+ T-helper white blood cells, not red blood cells.
B. The virus affects the white blood cells
HIV destroys CD4+ T-cells, weakening the immune response, leading to immunodeficiency.
C. The virus affects the platelets
Platelets are involved in clotting, not in the immune deficiency caused by HIV.
D. The virus affects the liver
Although medications for HIV may affect the liver, HIV itself targets the immune system, not liver cells directly.
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