Author Question: Which treatment option minimizes the development of lymphedema in the surgical management of a ... (Read 70 times)

dmcintosh · **on:** Jun 28, 2018

Which treatment option minimizes the development of lymphedema in the surgical management of a client with breast cancer?

a. Radical mastectomy procedure
b. Radiation therapy
c. Sentinel lymph node mapping
d. Ultrasound

Question 2

A client, age 49, confides in the nurse that she has started experiencing pain with intercourse. She asks, Is there anything I can do about this? The nurse's best response is:

a. No, it is part of the aging process.
b. Water-soluble vaginal lubricants may provide relief.
c. You need to be evaluated for a sexually transmitted disease.
d. You may have vaginal scar tissue that is producing the discomfort.

jessofishing · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
The use of sentinel lymph node mapping identifies only those affected lymph node tissues that require surgical removal so it helps minimize the development of lymphedema in the surgical management of a client with breast cancer. Radical mastectomy is associated with lymphedema in the postsurgical breast cancer client because of the removal of lymph node tissue. Radiation therapy is not associated with a decrease in lymphedema for the breast cancer client. Ultrasound as an intervention does not affect the development of lymphedema.

Answer to Question 2

ANS: B
Loss of lubrication, with resulting discomfort in intercourse, is a symptom of estrogen deficiency. It is part of the aging process, but the use of lubrication will help relieve the symptoms. This is a normal occurrence with the aging process and does not indicate an STD. It is caused by loss of lubrication with the decrease in estrogen. Scar tissue problems would have occurred earlier.