Lymphology Association of North America (LANA) Practice Exam

When bandaging the lower extremity of an obese patient, which statement is NOT true?

1. The skin crease needs padding to avoid maceration.

2. Using foam inserts helps keep bandages in place.

3. Only long-stretch bandages should be used.

4. Lifting the lobe with figure-8 turns helps maintain bandage position.

The correct answer is: Only long-stretch bandages should be used.

The statement indicating that only long-stretch bandages should be used is indeed not true. In the context of bandaging the lower extremity of an obese patient, it's important to consider the purpose and characteristics of the different types of bandages available. Long-stretch bandages are designed to provide high levels of compression and are generally used in situations where deep venous thrombosis (DVT) or other conditions requiring close adherence to compression therapy are present. However, in the specific case of treating obesity-related symptoms or conditions, a variety of bandages can be employed. Short-stretch bandages, for instance, are often beneficial in facilitating movement and managing lymphatic flow without excessive compression, making them a good option for some patients who might be in an early stage of treatment or for those who require more mobility. The usage of various bandage types according to the individual patient's needs is the key focus, as opposed to sticking to one specific type. This flexibility in choice allows for a tailored approach to care, ultimately enhancing comfort and effectiveness of treatment for obese patients whose anatomy may require special attention in the areas prone to issues like skin maceration or impaired circulation.