Certified Wound Ostomy Nurse (CWON) Practice Test

What is the initial treatment approach for lymphedema?

1. Elastic compression bandaging

2. Non-elastic compression and elevation

3. Medication to reduce swelling

4. Surgery to remove excess tissue

The correct answer is: Non-elastic compression and elevation

The initial treatment approach for lymphedema typically emphasizes non-elastic compression and elevation. This method is foundational because it aims to reduce swelling by utilizing gravity and proper positioning of the affected limb. Elevation helps decrease fluid accumulation, while non-elastic compression aids in promoting lymphatic flow and preventing further swelling. This initial strategy is crucial because lymphedema arises from compromised lymphatic drainage, and managing swelling early can prevent the condition from worsening. Non-elastic compression specifically is designed to provide consistent pressure that supports the underlying tissues without constricting lymphatic vessels. Other approaches, such as elastic compression bandaging, may be introduced later as part of comprehensive treatment, but they typically follow the initial use of non-elastic methods to establish a baseline of control over edema. Medication is not typically effective for treating lymphedema, and surgery is generally considered only after conservative measures have not achieved sufficient improvement.