A client is concerned about the risk of lymphedema after a mastectomy. Which response by the nurse is best?
a. "You do not need to worry about lymphedema since you did not have radiation therapy."
b. "A risk factor for lymphedema is infection, so wear gloves when gardening outside."
c. "Numbness, tingling, and swelling are common sensations after a mastectomy."
d. "The risk for lymphedema is a real threat and can be very self-limiting."
ANS: B
Infection can create lymphedema; therefore, the client needs to be cautious with activities using the affected arm, such as gardening. Radiation therapy is just one of the factors that could cause lymphedema. Other risk factors include obesity and the presence of axillary disease. The symptoms of lymphedema are heaviness, aching, fatigue, numbness, tingling, and swelling, and are not common after the surgery. Women with lymphedema live fulfilling lives.
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