Certified Wound Care Nurse (CWCN) Practice Exam

Question: 1 / 500

What does the Stemmer sign indicate?

Presence of lymphedema

The Stemmer sign is a clinical test used primarily to assess the presence of lymphedema. It is performed by attempting to pinch the skin on the second toe or finger; if the skin can't be lifted easily, this is a positive Stemmer sign, indicating the presence of thickened skin due to the accumulation of lymphatic fluid.

The indication of lymphedema is notably important in wound care because managing underlying conditions like lymphedema can help improve healing and outcomes in patients with wounds. Recognizing this condition early is crucial for implementing appropriate treatment and management strategies, therefore aiding in wound care and patient education.

In contrast, other conditions reflected in the options relate to different assessments and indications. For example, severity of arterial insufficiency would likely be assessed through other clinical tools, while signs of infection and venous reflux involve different diagnostic criteria and physical examination techniques. Understanding the specific role of the Stemmer sign in diagnosing lymphedema enhances one’s ability to manage related complications effectively.

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Severity of arterial insufficiency

Sign of infection in wounds

Assessment of venous reflux

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