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Swell to Well: Wound Management for Clients Living with Lymphedema

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1.  One of the normal functions of the lymphatic system is to: Remove waste products Pump blood throughout the body Supply oxygen to the tissues Make proteins for blood clotting

2.  One of the functions of the peripheral venous system is to: Detoxify chemicals and metabolize drugs Serve as a conduit to return blood from the periphery to the heart and lungs Store bile produced by the liver Filter old platelets from the blood

3.  A client experiencing venous edema may present with: Swelling that has slowly progressed Dusky color or brownish staining of the skin Achy pain as the day progresses All of the above

4.  The presence of edema can: Impair blood flow Decrease delivery or removal of key nutrients (ie, O2 and CO2) due to impaired diffusion Cause increased bacterial colonization due to accumulation of interstitial fluid All of the above

5.  As the skin ages, the risk factors for developing wounds also increase. Processes that increase the risk for developing wounds include: Ability to constantly regenerate the endothelium Decreased vascularity of dermis Increases in collagen which gives skin support and elasticity Increases in the skin’s ability to hold moisture

6.  What are the components of Complex Decongestive Therapy (CDT)? Manual Lymph Drainage (MLD) Compression bandages and garments Exercises All of the above

7.  What is a contraindication to performing lymphedema management techniques with a client living with a wound? An infection that is being treated with IV antibiotics Controlled CHF Untreated malignancy Venous insufficiency

8.  What below should be included in the documentation when a clinician is working with a client with a wound? Number of hours of sleep per night Progression of the wound from one phase of healing to the next Level of education Favorite social activity

9.  Typical characteristics of pressure injury wounds include ALL EXCEPT: Well defined borders Necrosis Lymphatic capillary damage Tunneling

10.  If a client has lymphedema and a wound, why is the wound harder to heal? Stagnating lymph fluid is an ideal breeding ground for germs Edema pushes the wound edges apart Lymph fluid is toxic to the wound by keeping nutrition and oxygen from the wound All of the above