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. Enlarged, painful cervical lymph nodes:
The cervical lymph nodes drain the area of the throat. Infection leads to inflammation and enlargement of these nodes.
B. Enlarged thymus gland:
The thymus is primarily active in children and does not respond to infections like lymph nodes do.
C. Enlarged inguinal lymph nodes:
Inguinal lymph nodes drain the lower extremities and genital area, not the throat.
D. Cervical lymph node cancer:
Cancer is not a typical complication of pharyngitis. Lymph node enlargement here is due to immune response, not malignancy.
Correct Answer is B
Explanation
A. Cardiovascular
The cardiovascular system transports blood and immune cells but is not a barrier against pathogens.
B. Integumentary
The skin and mucous membranes form the first physical barrier, preventing pathogen entry.
C. Urinary
The urinary system flushes out pathogens but is not the primary barrier to entry.
D. Endocrine
The endocrine system regulates hormones, not involved in first-line defense.
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