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

What is lymphostatic elephantitis?

1. A mild swelling of limbs

2. A major swelling accompanied by skin breakdown and ulceration

3. A short-term edema condition

4. Highly reversible lymphedema

The correct answer is: A major swelling accompanied by skin breakdown and ulceration

Lymphostatic elephantiasis is characterized by a severe condition of limb swelling that occurs as a result of chronic lymphatic obstruction. This condition leads to significant fluid accumulation, resulting in massive swelling that can severely distort the shape of the affected limbs. What distinguishes lymphostatic elephantiasis is the fact that the chronic swelling can be accompanied by a range of complications, including skin breakdown and ulceration, which are serious manifestations of the condition. These secondary issues arise due to prolonged edema and the pressure exerted on the skin and underlying tissues. The skin may become vulnerable to infections as well, due to the impaired lymphatic function and compromised local defenses. The other options do not accurately reflect the nature of lymphostatic elephantiasis. While a mild swelling of limbs, short-term edema, and highly reversible lymphedema may describe less severe conditions, they do not encompass the complexities and serious implications associated with lymphostatic elephantiasis. This clarity about the severity and consequences of the condition validates the accuracy of identifying option B as the correct description.