A client with chronic venous insufficiency (CVI) presents with edema and skin changes in the lower legs. What should the nurse include in the plan of care to manage these symptoms?

Elevating the legs above heart level for 15 minutes daily.

Applying compression bandages to the legs.

Soaking the legs in hot water to reduce swelling.

Encouraging long periods of standing to promote circulation.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because elevating the legs above heart level for only 15 minutes daily may not provide sufficient benefit for managing edema and skin changes in clients with chronic venous insufficiency (CVI). Continuous and prolonged elevation, along with compression therapy, is more effective in reducing swelling.

B) This choice is correct. Applying compression bandages or stockings is a standard intervention for managing edema and skin changes in clients with chronic venous insufficiency (CVI). Compression helps improve venous return and reduce swelling in the lower legs.

C) This choice is incorrect because soaking the legs in hot water is not recommended for clients with chronic venous insufficiency (CVI). Hot water may cause skin irritation and worsen skin changes associated with CVI.

D) This choice is incorrect because encouraging long periods of standing can worsen symptoms in clients with CVI. Prolonged standing increases venous pressure in the legs and can lead to further swelling and discomfort.

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Correct Answer is D

Explanation

A) This choice is incorrect because weightlifting is not typically recommended for individuals with peripheral vascular disease (PAD). High-intensity weightlifting can increase blood pressure and may not be suitable for clients with cardiovascular conditions.

B) This choice is incorrect because running, especially high-impact running, may be too strenuous for individuals with PAD and could lead to discomfort or injury. Low-impact exercises are generally preferred.

C) This choice is incorrect because high-impact aerobics can be too intense for individuals with PAD and may not be well-tolerated, especially if they experience leg pain during exercise.

D) This choice is correct. Walking is a low-impact exercise that can be beneficial for individuals with peripheral vascular disease. It promotes blood flow in the legs, increases circulation, and helps manage intermittent claudication (pain during walking) associated with PAD. Gradually increasing walking distance and duration can improve cardiovascular fitness and overall health.

A. Cardiac catheterization B. Electrocardiogram (ECG/EKG) C. Magnetic resonance angiography (MRA) D. Pulmonary function test (PFT)

Correct Answer is C

Explanation

A) This choice is incorrect because cardiac catheterization is an invasive procedure that involves the insertion of a catheter into the heart chambers or coronary arteries. It is used to assess the heart's structure and function, not blood flow in the legs.

B) This choice is incorrect because an electrocardiogram (ECG/EKG) is a non-invasive test that records the electrical activity of the heart to assess heart rate and rhythm. It is not used to assess blood flow in the legs.

C) This choice is correct. Magnetic resonance angiography (MRA) is a non-invasive imaging technique that uses a magnetic field and radio waves to create detailed images of blood vessels. It can assess blood flow in the legs, identify blockages, and provide valuable information about the vascular status of the extremities.

D) This choice is incorrect because a pulmonary function test (PFT) is a test used to assess lung function and diagnose respiratory conditions. It is not used to assess blood flow in the legs or detect peripheral vascular disease.

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A client with chronic venous insufficiency (CVI) presents with edema and skin changes in the lower legs. What should the nurse include in the plan of care to manage these symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client with peripheral vascular disease (PAD). The nurse should instruct the client to perform which exercise to improve blood flow in the legs?

Correct Answer is D

Explanation

A nurse is assessing a client with peripheral vascular disease. Which non-invasive test can the nurse use to assess blood flow in the legs and detect blockages?

Correct Answer is C

Explanation

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