Question

The nurse is caring for a patient who just underwent an axillary lymph node dissection. What intervention should the nurse use to decrease the lymphedema?

A) Apply cold compresses to the affected arm.
B) Encourage avoidance of arm exercises.
C) Elevate the affected arm above the heart.
D) Encourage the patient to carry heavy bags on the affected arm.

Answer 1

To decrease lymphedema after axillary lymph node dissection, the affected arm should be elevated above the heart to promote lymph drainage and reduce swelling.

Step-by-step explanation:

The best intervention to decrease lymphedema after an axillary lymph node dissection is option C) Elevate the affected arm above the heart. This promotes drainage from the lymph system and can help to reduce swelling. Other beneficial activities include carefully controlled exercises that encourage the flow of blood and lymph without overstraining the affected limb, and therapies such as massage and compression to move fluid out of the tissues. It is also advised to reduce salt intake to minimize water retention, which can exacerbate edema. Carrying heavy bags (option D) should be avoided because it might increase swelling, and cold compresses (option A) are not typically used to treat lymphedema. Arm exercises are important for recovery, but they should be performed judiciously, so option B is generally not recommended as it suggests complete avoidance.