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Phrenic Nerve Palsy Breathlessness — SCE Palliative Medicine MCQ

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HardRespiratory SymptomsPhrenic Nerve Palsy BreathlessnessSCE Palliative Medicine

A patient with SVCO has swollen upper limbs while awaiting urgent oncological review. Which immediate positioning measure is recommended?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Loosen clothing; support both arms on pillows

Explanation lettering: E = shown as A · D = shown as C · A = shown as D · C = shown as E

D is correct. Restrictive clothing is loosened and swollen upper limbs are supported on pillows while urgent definitive assessment proceeds.

Reference: Scottish Palliative Care Guidelines: superior vena cava obstruction: https://www.rightdecisions.scot.nhs.uk/scottish-palliative-care-guidelines/palliative-emergencies/superior-vena-cava-obstruction/