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 B
Explanation
A. Spleen:
The spleen filters blood and helps initiate immune responses, but it does not mature T cells.
B. Thymus gland:
The thymus is the primary site where immature T lymphocytes mature and become functional.
C. Tonsils:
Tonsils help detect pathogens entering through the mouth or nose but are not involved in T cell maturation.
D. Pancreas:
The pancreas is involved in digestion and blood glucose regulation, not immune cell development.
Correct Answer is C
Explanation
A. Naturally acquired active immunity
This results from infection and the body’s own immune response—not applicable to newborns.
B. Artificially acquired passive immunity
This comes from injection of antibodies (e.g., immunoglobulins)—not from the mother.
C. Naturally acquired passive immunity
This is passed from mother to child through the placenta (IgG antibodies) and via breast milk (IgA).
D. Artificially acquired active immunity
This comes from vaccines that stimulate the body to produce its own antibodies.
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