Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is an initial treatment strategy for lymphedema?

1. Immediate surgery

2. Use of nonelastic compression and elevation

3. Application of steroids

4. Thermal therapy only

The correct answer is: Use of nonelastic compression and elevation

The initial treatment strategy for lymphedema focuses on conservative management techniques that aim to reduce swelling and improve lymphatic drainage. The use of nonelastic compression and elevation is a foundational approach in managing lymphedema. Nonelastic compression garments, bandages, or wraps apply pressure to affected areas, helping to limit the buildup of lymph fluid. Elevation of the limb encourages gravity to assist in lymphatic drainage, further reducing edema. This strategy is essential as it can be easily implemented, non-invasive, and often provides immediate relief without the risks associated with more invasive procedures. Immediate surgery is typically not indicated at the onset of lymphedema since it is often managed effectively through conservative means first. While steroids may be used for specific inflammatory conditions, they do not address the underlying issues associated with lymphedema. Thermal therapy, though beneficial in certain circumstances, does not constitute a primary treatment for lymphedema on its own and is not a substitute for compression and elevation techniques.