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

Which of the following describes a common symptom of lymphedema?

1. Chronic itching of skin

2. Persistent swelling not responsive to simple measures

3. Localized temperature changes

4. Transient swelling that resolves on its own

The correct answer is: Persistent swelling not responsive to simple measures

Persistent swelling not responsive to simple measures is a hallmark symptom of lymphedema. Lymphedema occurs when the lymphatic system is unable to adequately drain lymph fluid, leading to accumulation and swelling, commonly in the arms or legs. This swelling is typically chronic and can be progressive, often requiring specific treatment strategies rather than simple home remedies. The nature of this swelling is distinct; it does not resolve quickly and is often resistant to elevation or diuretics. Effective management often involves specialized forms of therapy, such as compression garments and manual lymph drainage. Recognizing persistent swelling as a common symptom is crucial, as it distinguishes lymphedema from other conditions that may present with similar signs but have different underlying causes and management needs.