A client had an orchiectomy and laparoscopic radical retroperitoneal lymph node dissection this morning. What is the nurse’s priority for care? a) assess the client’s pain level and provide pain management b) ensure that the client’s urinary catheter is draining clear yellow urine c) observe the client’s incision for redness, swelling, and drainage d) apply oxygen therapy via nasal cannula at 2 L/min (Ignatavicius & Workman, p. 1515)

b) ensure that the client’s urinary catheter is draining clear yellow urine (Ignatavicius & Workman, p. 1515) More test answers on https://studyhippo.com/iggy-chp-72-care-of-patients-with-male-reproductive-problems/

Sentinel lymph node dissection

removal of the first lymph node that contains cancer cells More test answers on https://studyhippo.com/ocn-study-guide/

The nurse is caring for a patient diagnosed with breast cancer who just underwent an axillary lymph node dissection. What intervention should the nurse use to decrease the lymphedema? A. Keep affected arm flat at the patient’s side. B. Apply an elastic bandage on the affected arm. C. Assess blood pressure only on unaffected arm. D. Restrict exercise of the affected arm for 1 week.

C. Assess blood pressure only on unaffected arm. Blood pressure readings, venipunctures, and injections should not be done on the affected arm. Elastic bandages should not be used in the early postoperative period because they inhibit collateral lymph drainage. The affected arm should be elevated above the heart, and isometric exercises are recommended and gradually increased starting in the recovery room to reduce fluid volume in the arm. More test answers on https://studyhippo.com/med-surg-lewis-ch-52-breast-cancer/

The nurse is caring for an obese 67-year-old woman after a right mastectomy with axillary lymph node dissection. Which should the nurse include in the discharge instructions? A. “Arm exercises should not be started for 4 to 6 weeks.” B. “Discontinue arm exercises if you have discomfort or pain.” C. “Special massage therapy can decrease swelling in your arm.” D. “Keep your right arm in a sling to decrease pain and swelling.”

C. “Special massage therapy can decrease swelling in your arm.” Decongestive therapy may be used for acute lymphedema and includes a massage-like technique to mobilize the subcutaneous accumulation of fluid. Arm exercises should be performed to prevent contractures and muscle shortening, maintain muscle tone, and improve lymph and blood circulation. The arm exercises should be initiated after surgery and increased gradually. Pain medications should be administered 30 minutes before arm exercises. The operative arm should be kept at the level of the heart but not in a sling; a sling discourages use of the arm. More test answers on https://studyhippo.com/med-surg-lewis-ch-52-breast-cancer/

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Lymph Node Dissection Flashcards, test questions and answers

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What is Lymph Node Dissection?

Lymph node dissection is a medical procedure which involves the surgical removal of lymph nodes during the process of cancer treatment. It is typically done as part of a larger surgery, such as a mastectomy or hysterectomy, and can be used to determine if cancer has spread, or metastasized, beyond its original site. In some cases, it may also be used to stage the cancer and provide information about treatment options.During lymph node dissection, small incisions are made in the area near where cancer was found. Lymph nodes are then removed from their respective locations and examined for signs of disease. If any suspicious cells are found in them then this indicates that the cancer may have spread to other parts of the body through these pathways. When this occurs, additional treatments such as radiation and chemotherapy may be recommended by doctors to ensure that all areas affected by the disease are adequately treated and monitored over time. The risks associated with lymph node dissection depend on many factors including what type of procedure is being performed and how extensive it is; however some common side effects include infection at the incision site, pain at the site due to swelling or irritation from tissue manipulation during surgery; bleeding around your wound; decreased movement in nearby muscles; fatigue from anesthesia; allergic reactions to medications given before or after surgery; nerve injury leading to numbness or tingling sensations near your wound; and lymphedema (swelling) due to fluid buildup caused by damage done during surgery. Despite possible risks associated with lymph node dissection, it still remains an important part of proper cancer care for many patients who need accurate staging information for making informed decisions about their treatment plans moving forward. By providing healthcare providers with more detailed data about how widespread a particular type of malignancy may be within an individual’s body they will better able able assess potential risk factors associated with prognosis along with considering potential treatments that can help optimize outcomes while minimizing undesired effects associated with therapy.