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Looking into secondary lymphedema

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doi: 10.1097/01.NURSE.0000526937.45877.2b
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INSTRUCTIONS Looking into secondary lymphedema


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  • Complete the registration information and course evaluation. Mail the completed form and registration fee of $17.95 to: Lippincott Professional Development, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
  • You will receive your CE certificate of earned contact hours and an answer key to review your results.
  • Registration deadline is November 30, 2019.


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Lippincott Professional Development will award 1.5 contact hours for this continuing nursing education activity.

Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida CE Broker #50-1223. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.5 contact hours.

Looking into secondary lymphedema

GENERAL PURPOSE: To provide nurses with information about secondary lymphedema. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing-education activity, you should be able to: 1. Describe the pathophysiology of secondary lymphedema. 2. Outline management of the patient with secondary lymphedema.

  1. Lymphedema results in an abnormal accumulation of fibrous tissue and
    1. intracellular fluid.
    2. interstitial fluid.
    3. intravascular fluid.
  2. What's the most common cause of secondary lymphedema?
    1. obesity
    2. radiation therapy
    3. lymph node dissection
  3. Which is accurate about lymphedema?
    1. It's curable.
    2. It's easier to treat in later stages.
    3. Early treatment can minimize complications.
  4. After axillary node dissection, which patient statement is least likely to suggest lymphedema?
    1. “I'm losing weight without even trying.”
    2. “My arm feels heavy.”
    3. “It's hard to fully bend my elbow.”
  5. Peripheral lymphedema may first present as
    1. hyperpigmented skin.
    2. pitting edema.
    3. thickened skin.
  6. Lymphedema assessment should include
    1. circumferential limb measurements.
    2. an ankle-brachial index.
    3. ICG lymphography.
  7. Which of the following images fluid flow from the skin to the lymph nodes?
    1. computerized tomography
    2. bioimpedance analysis
    3. lymphoscintigraphy
  8. The main conservative treatment for lymphedema is
    1. passive range of motion.
    2. compression.
    3. weight management.
  9. Which level of compression therapy uses the greatest amount of pressure the patient can tolerate?
    1. first level
    2. second level
    3. third level
  10. Which type of moisturizer is recommended under compression garments?
    1. lanolin-based
    2. petroleum-based
    3. water-based
  11. MLD applies pressure to the limb
    1. distally to proximally.
    2. proximally to distally.
    3. circumferentially.
  12. Which pharmacologic agents are now being studied to treat lymphedema?
    1. platinum agents
    2. antifibrotic agents
    3. taxane agents
  13. Which surgical approach transfers healthy lymph tissue that's microsurgically anastomosed to the affected tissue?
    1. lymphovenous bypass
    2. lymphaticovenular anastomosis
    3. lymphatic-lymphatic bypass
  14. The goal of reductive surgical techniques is to
    1. alleviate signs and symptoms.
    2. create new conduits for lymph.
    3. reroute lymphatic drainage.
  15. Reductive surgery includes
    1. liposuction.
    2. lymphaticovenular anastomosis.
    3. lymphovenous bypass.
  16. Which axillary lymph nodes are most frequently palpated?
    1. pectoral
    2. central
    3. lateral
  17. To prevent infection, postoperative patients should be taught to
    1. keep cuticles trimmed.
    2. avoid cutting nails straight across.
    3. use an electric razor.
  18. Which action during air travel is not appropriate for patients with lymphedema?
    1. Avoid wearing compression garments.
    2. Perform deep abdominal breathing.
    3. Seek assistance for lifting luggage.
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