Author Question: A client is concerned about the risk of lymphedema after a mastectomy. Which response by the nurse ... (Read 107 times)

tingc95 · **on:** Jun 25, 2018

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.

Question 2

A client is placed on a medical regimen of doxorubicin (Adriamycin), cyclophosphamide (Cytoxan), and fluorouracil (5-FU) for breast cancer. Which side effect seen in the client should the nurse report to the provider immediately?

a. Shortness of breath
b. Nausea and vomiting
c. Hair loss
d. Mucositis

nyrave · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

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.

Answer to Question 2

ANS: A
Doxorubicin (Adriamycin) can cause cardiac problems with symptoms of extreme fatigue, shortness of breath, chronic cough, and edema. These need to be reported as soon as possible to the provider. Nausea, vomiting, hair loss, and mucositis are common problems associated with chemotherapy regimens.